2013, 07-23 Permit App: BLD-2013-1447 Plumbing Fixtures Community Development
Permit Center
C°TMOkane 11703 E Sprague Ave,Suite B-3
'�-�'`�'l1Lal1lallev Spokane Valley,WA 99206
�jiG.7 PHONE: (509)720-5240
FAX: (509)688-0037 /6G6.--14`�.—/tit
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PERMIT FEE: 0 D6 0p
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS:
Building Owner IPA c_.C.6"—
Name: (-4 lt(f4SjJ 05 Phone: (I-z_t Lkct.5ct Fax:
Address: City: SkVs State: L 'eV Zip:ckcA Z O
Contractor 5 aix--
Name: Phone: ctie,,._ gsel Fax:
Address: C City: 1,-'m State: W irc' Zip:TV/
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License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP f
TOILETS
URINALS f '
TUBS
SHOWERS(per trap) t
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, 3
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL 1
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
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 1--7_,.......„--
CURRENT
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.oro/under the quick links for Forms,Master Fee Schedule.