2009, 09-23 Permit App: 09003047 Plumbing Fixtures Permit Center �`�
Spokane 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: V
Spokane Valley,WA 99206
jValley. (509)688-0036 FAX:(509)688-0037 PERMIT FEE: l(Z'q
permitcenter@a,spokanevalley.org
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Community Development
Plumbing Permit Gj
Application ! ' 1 n Comm�ercial Residential
SITE ADDRESS: 14 2- 17 ' . s ka'�,- \f�vl fa ..7l r D3
Building Owner CA-I q o
Name:�h W 1 �0 S Pr C--1 Phone: 1 1 C� 1 (0'2_1 Fax: i �j
Address: ` 4k 2\-7 \ S." Ci y: S'h0'_ rG v t-Lf 6 e: V`vA Zip: l 9 031
Contractor \ 1 �nk...._
T�i `�'l ('y` /,
Name: Q 5e) (0 Y J k 1P I p) f'U 6, Phone: 11 9 z e I Fax: b -1
Address: (_ 0 Qe/ VA Ci Zip:
License No: City Business Lie:
Contact/Project Manager:
Name: EQ 1 t Ec_12_.u.,--frc Phone: ot L R 4, & 2..t
#OF UNITS
PLUMBING FIXTURE ON A TRAP i
TOILETS � ` l '
URINALS / i i
TUBS 1( ( ( (
SHOWERS(per trap) ( r 1
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, 1 1� '
SINKS Prep/Culinary Meat 1
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL 1
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate I
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 It
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 ventpiping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitAppl ication040309.doc