2015, 03-16 Permit App: BLD-2015-0525 Plumbing Fixtures Community Development ��
Permit Center Project # '-12--.)-()(.5 "--05,D
Sifolcane 11703 E Sprague Ave,Suite B-3
RECEIVED
NT'aleySpokane Valley,WA 99206
� PHONE: (509)720-5240
FAX: (509)688-0037 MAR 1 6 2015
Plumbing Permit Application ❑ Commercial PA Residential CSV Fien iTTTkNTER
SITE ADDRESS: ' // 3 6 8' SUB # f REV. #
Building Owner tat,d e 1 1)v4(n'v-
Name: aq "CM j 6 v4 N i 0 Phone: of 6 _. a 77-f Fax:
Address: 2.6/(• E- /41U,41.1 Ort e") City: 51(> 6 State: W 4 Zip: 9.)/6
Contractor L fx lei S fq„ /- D”e 1•
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: 0a Pk bL4 ei 6 t,,14 H ,,45
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP #S
TOILETS a.
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
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate 1
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
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical 1
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 _____S .
CURRENT FEES AVAILABLE AT:http:/lwww.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.