2014, 01-16 Permit App: BLD-2014-0071 Plumbing Fixtures , t' s
Community Development
0 ._ Permit Center PERMIT NUMBER:
S o° ane 11703 E Sprague Ave,Suite B-3 PERMIT FEE:
r Spokane Valley,WA 99206
jValley° PHONE: (509)720-5240
FAX: (509)688-0037 / 17 - O( -(- - on (
Plumbing Permit Application ❑Commercial 'Residential
SITE ADDRESS: !� �" 1/ 3 f
Building Owner "TIM w R i-� r
Name: n G Phone: Fax:
Address: ✓ City: State: 0 /), Zip: 99 a o
Contractor /.r„a c y l c'c..-, N P
Name: 1) . Z "Phone: a 0 g—6 yo 94,6 Fax:
Address: City: State: Zip:
License No: City Business Lie:
Contact/Project Manager: r r N/ > n
Name: Phone: / a 7Y?
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
4 WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
- ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
4—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
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT ES AVAILABLE AT:http://www.sookanevallev.oro/under the 41116itll i f6'forms,MasttrFed&Arrdute;
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http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Plumb App.doc