2014, 10-29 Permit App: BLD-2014-2640 Plumbing Fixtures �.unununny uweiuN111e11I f,,/ )
Permit Center ROIK)
ok0"aine 11703 E Sprague Ave,Suite B-project
Spokane Valley,WA 99206
,,,,IIIISValley. PHONE: (509)720-5240 RECEIVED
FAX: (509)688-0037
OCT 292014
PE MIT FEE:
Plumbing Permit Application ❑ Commercial esidential
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SITE ADDRESS: /27oI -"/z2
SUB #
Building Owner
Name: PA `; //ae5 Phone: Fax:
Address: City: State: Zip:
Contractor
Name: 6g St7)-( fie t--ef'f • Phone: ,535-__ Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: G � 27/X A(
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS 4
URINALS
TUBS
SHOWERS(per trap)
Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat jj
DISHWASHER !�
CLOTHES WASHER 2-
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals Z
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
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.