2009, 06-25 Permit App: 09001872 Water PipingPermit Center
I
Spokane
a Sprague Ave, Suite D-3
U�IVIWe��ZG Spokane -0036 FAX
992W
j Pdl (S0Y)6%8-0036 FAX. (509)68%1031
permnwmer_a Igy ore
Cormnunity Development
Plumbine Permit
SITE ADDRESS:
PERMIT NUMBER: —��
PERMIT FEE:
❑ Commercial VResideml
Building 0wncr
-
Name: I
phone. C7 e;r 4, Z2 S Fax:
'
Address_ �.
_
I` e LoY'. ' lC'.'L_� State:
Centmactor
Name: �. �, ' ".�4.Ti rF
Phone:�� Z_ Fax:
Address: P O (� � . r i
late_
City -7 - ""'Q
LipG' Et b 30
License No: AI `i:— I L S T—
T (Z City Bast ss Lic
Cmat.etTroiem ....ger:
Namr. �.'C
I n Phone:
M OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
_
URINALS
-_-
TUBS
SHOWERS rtrz
SINKS
IavBasns, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -my, Food
PreplCulimar, Meat
DISHWASHER
CLOTHES WASHER
_
GARBAGE DISPOSAL
WATER SOFTNER
_
FLOOR DRAIN
Area, Case, Coil, Trench Condensate
ROOF DRMNIOVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation Alterations, Re air, Reversals
_
WATER USING DEVICE
Ito a.Wrr Cofed makeq_h_ose hih, steamer .Dater, rallonator swam coater
PRIVATE SEWAGE DISPOSAL SYSTEM
_
WATER HEATER
If Gas, See Me_chaniWl
INDUSTRIAL WASTE PRETFEATEMENT
INCEPTORS Includin9Vapsventsexcept kitchen heed grease interceptors forchoning as tenure tras
REPAIR OR ALTERATION
Water puprg dourage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
RACK FLOW PROTECTIVE DEVICE
- _ Other than aMospherie type vacuum breakers
MEDICAL GAS
INCEPTORS
[]CASH E1 CHECK ❑ VISA ❑ MC EXPIRES:
cam# VIN:
SIGNATURE
CURRENT FEES AVAILABLE AT:
under the quick links for Fonns, Master Fee Schedule,
bhpl/www. spokancvalicy.org/iiplov /Community Dcvclap.c.UDocumentgPorms/Building/PlumhingPcnnitApplicalion(NO3O9do,