2012, 08-10 Permit App: BLD-2012-1285 Plumbing Fixturesen er
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 v+
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PERMIT NUMBER:
PERMIT FEE:
PAID z6�z-mss
Application ❑ Commercial Residential
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Plumbing Permit
SITE ADDRESS:
OCASH CHECK 0 VISA OMC EXPIRES
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT' httre//www p k II v. re/ d th q I k ks for Forms, Master Fee Schedule.
httpJ/wrnv.spokavevailey.ore/uploads/Community Developmeut/Documents/Farms/Building/PlumbmgPermitApplication040309.riot
Building Owner Oaptz„, d ta,A/Nc Alt, j' /n y4 N4�f n
Name: one: .50q yyu7/6 Fax: Nr A
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Address: City. State: Zip:
Contractor ia nifiSSi f
Name: Phone: Fax:
Address: City State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
e OF UNITS
PLUMHING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bap Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Cullnary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
— WATER PIPING/DRAIN-IN WASTE
Installation, Alterations Repair Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer pmofea carbonatop swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INOUSTRWL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease Interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
OCASH CHECK 0 VISA OMC EXPIRES
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT' httre//www p k II v. re/ d th q I k ks for Forms, Master Fee Schedule.
httpJ/wrnv.spokavevailey.ore/uploads/Community Developmeut/Documents/Farms/Building/PlumbmgPermitApplication040309.riot