2013, 09-24 Permit App: BLD-2013-1928 Plumbing Fixtures Community Development • `� { 2,5
Permit Center PERMIT NUMBER:
S b`kB
ane 11703 E Sprague Ave,Suite -3
p_ Spokane Valley,WA 99206 PERMIT FEE:
jValley` PHONE: (509)720-5240
FAX: (509)688-0037
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS: pL 3 F 0 I S,4,,
Building Owner
Name: J-5A Lly/r.EtJ ).^G Phone: s"09 _y�/—Yzp� Fax:
Address: -ZiC O y /l/ /fjc� L, _ e• City: (;)/ A-2--- State: 1,4,./". Zip: y e.)0
Contractor
Name: 5...i—, f,1 Ailr4' _ Phone: STS .77.„_12737 Fax:
Address: 272 C 'Y e r -4?j City: 5,4" State: t'— — Zip: ,,y 22 3
License No: City Business Lic:
Contact/Project Manager:Name: /G Hf Phone: 1,7,, ---22 121/
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap) �1�v 1-q
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X ray,.fao�t .- _ �C/�
SINKS Prep/Culinary Meat pp
DISHWASHER f� E E 1 V E D
CLOTHES WASHER SEP 12 4 2013 ��
GARBAGE DISPOSAL i
F WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate CSV R( I I N C LH
"ROOF DRAIN/OVERFLOW DRAINS i n C 1f c: i
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.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.
httpJ/www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Plumb App.doc