HomeMy WebLinkAbout2012, 10-25 Permit App: BLD-2012-1925 Plumbing Fixtures&avalle3"
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX (509)628-0037
pennitcenter(Msookanevallev.org
Community Development
Plumbing Permit Application
SITE ADDRESS:
9 52(I E Trb
b020Z-I96-
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial 7xResidential
OCASH J.CHECK 0 VISA 0 MC
Garde
SIGNATURE: /J
CURRENT FEES AVAILABLE AT: http://www. p k van V. q/ d th q 'ck 1 its fo F rms, Master Fee Schedule.
httpl/mvw.spokanevalley.ergkploads/Community_Development/Documents/Forms/Building/PlumbinglsermitApplication04030gales
Building Owner it
Name: K44 ci (d. P
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Sic/moil Phone: Far
Address: i dil
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Zip: q R 7_0
Contractor O17 -D V
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Name:
Phone: Fax:
Address: -ZD
City: State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name: I1 And / �IZOLOi
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- Phone: LiC� Q- O 1 I) & 5 r (l
S OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Fluor, Kitchen, Laundry, May, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coll, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee make( hose bib, steamer proofs' carbonate' swamp cooler
PRNATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRLL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease Interceptors functioning as future traps
REPAIR ORALTERATION
Water piping, drainage or vent piping
'
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmosphedc type vacuum breakers
MEDICAL GAS
INCEPTORS
OCASH J.CHECK 0 VISA 0 MC
Garde
SIGNATURE: /J
CURRENT FEES AVAILABLE AT: http://www. p k van V. q/ d th q 'ck 1 its fo F rms, Master Fee Schedule.
httpl/mvw.spokanevalley.ergkploads/Community_Development/Documents/Forms/Building/PlumbinglsermitApplication04030gales