2013, 12-19 Permit App: BLD-2013-2570 Plumbing Fixtures , Community Development
Permit Center
Y PERMIT NUMBER:
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S mane 11703E Sprague Ave,Suite B-3 PERMIT FEE:
Spokane Valley,WA 99206
Valley PHONE: (509)720-5240 -le( p- P-o(s-25'70
FAX: (509)688-0037
Plumbing Permit Application 0 Commercial IAResidential
SITE ADDRESS: "l ( r) S 9 l''
Building Owner 14 div I-I c4/20
Name: Phone: 5.cG1-(2.57- 1,f / x:
l f City: p' �.9GL ✓ State: 4.4_,,/._ Zip: '
Address: 111 6 ;�-'j • �j. `I� sp �✓`�'"�
Contractor
Name: A/e,i;14_.7-f, pi...0"4.317c/( Phone:.-c, ?76 g`IS5 FState: iq Zip: r'/� 'fes
Address: ,,,x-5.7 / 01L7c�.v RIO City: 0 ,-)rZ j>,.2fe !ir/
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License No:1Vo/3i. p ,t oc,6- GS City e Mw_____._�
Contact/Project Manager: i
Phone P i u F�(%I __
Name: '—� RECEIVED 1 #UNITS
PLUMBING FIXTUREpl4 ATRAP �� r
TOILETS 1.
URINALS I CSV FERMI 1 CEN ' LH
TUBS _
J
SHOWERS(per trap) / `�
Lav/Basins,Bar,Floor,Kitchen,Lau�ry;Cltility,Lto Dib,X-a Fdod,-
DISHWASHER I
CLOTHES WASHER 1�
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
4 WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler
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,
REPAIR OR ALTERATION
Water piping,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER J
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS Y
Signature -
CURRENT FEES AVAILABLE AT:http://www.sookanevallev.oro/under the quick links for Forms,Master Fee Schedule.
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http://www.spokanevalley.org/fdestorage/124/938/210/948/1496/2743/Plumb App.doc