2014, 10-29 Permit App: BLD-2014-2643 Plumbing Fixtures „17
• Permit Center
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p"'``okane `”" 11703 E Sprague Ave, Suite B-3
Spokane Valley,WA 99206 '^ r, ?�
} . Valley FAX: (509)6880037240 Project ;� 9P_Zoi -7,01t. 15
RECEIVED 81"--
PERMIT FEE:
Plumbing Permit Application El Commercial Residential CCT 2 9 2Qi -
SITE ADDRESS: CSV PERMIT CENTER
Building Owner p/7 j 7fr /71-0E-.
Name: Phone: SUD i r Ea Fi E V. — ,
Address: City: State: Zip:
Contractor
Name: /be to -� ,r tC(ah<{ti(/�iti' Phone: / /-3 5 74 Fax:
Address: ! •Y City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: p s ]�/X6 Al
Name: /J Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS 2
SHOWERS(per trap) Z
Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, /
SINKS Prep/Culinary Meat (7Q
DISHWASHER
CLOTHES WASHER Z
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
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.sookanevallev.orq/under the quick links for Forms,Master Fee Schedule.