2014, 01-16 Permit App: BLD-2014-0070 Plumbing Fixtures Community Development
00•00\00,4:: Permit Center PERMIT NUMBER:
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S 61 a 11703 E Sprague Ave,Suite B-3 PERMIT FEE:
p Spokane Valley,WA 99206
jValleT PHONE: (509)720-5240 j�
FAX: (509)688-0037 '3 L D._'1 o f- - V 11
Plumbing Permit Application ❑Commercial .Ndi esidential
SITE ADDRESS:
Building Owner 7--,c LJ a re.'e
G Phone: Fax:
Name: 0 R y 0 ,,�( i et" ✓ City: �� �1�, State: W Zip: �' 9 u2 c M
Address: 96/t / . ri 6, k.f ,4,,,,, s�
Contractor /,„l t r/ ec„r IN �,,,f p �,�, 1�,� .
Name: ! l D�v-Z - Phone: a Gt ,, i,,yo ._ 906 4 Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: 0 G it 6,...4,,, ;,./
Name: Phone: a/b.- a 7'/9
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS /
SHOWERS(per trap) 1
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER .
CLOTHES WASHER
GARBAGE DISPOSAL
4F”WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
44"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 1
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 -1- —
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CURRENT FEES AVAILABLE AT:http:l/www.spokanevallev.or4/under th iiid6&1IO401 fcit Forms,Master Fee Schedule.
RECEIVED 1
JAN 1 6 2UU1/1 Fkk-1
_,SV PERMIT CENTER
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httP://www.spokanevalley.org/filestorege/124/938/210/948/1496/2743/Plimib App.doc ---—