2014, 07-03 Permit: BLD-2014-1561 Plumbing Fixturesf111'f7/k����
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•01c Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial ❑ Residential
SITE ADDRESS: t70I D E. 04"
Project # �'(i.4 1
- RECEIVED
JL 032014
PERMIT FEE:
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SUB* I ' REV, #
1
Building Owner
Name: i Phone: .5 --zit... 58 aci Fax:
State: ,j pr Zip: ogee/,
Address: c721 TJ E. (Q k" City: .5.coV u^ G l lc it
Contractor
Name: Phone: Fax: 7i g_r-( (2
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Address: 1
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City Business Lic:
License No: I v FN 8004
Contact/Project Manager:
Name: c.,e f Phone:g5Ef 75-3d
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2'
URINALS
TUBS
(
SHOWERS (per trap)
I
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
I
CLOTHES WASHER
'
GARBAGE DISPOSAL
i
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
i
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
1
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
3
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
Water piping, drainage or vent piping
REPAIR OR ALTERATION
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS _
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Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.