2013, 10-21 Permit App: BLD-2013-2165 Plumbing Fixtures Oct 21 13 09:31a Norm's Excavating, Inc 509-448-4906 p.2
•
Community Development
Developmen
stria Permit Center
11703E Sprague Ave,Suite
f ect #t
Spokane Valley,WA 99206 RECEIVED
.•••vValley
PHONE: (509)720-5240
FAX: (509)688-0037 i li
UC1 212033
PtRMIT FEE:
Plumbing Permit Application ❑ Commercial XO Resit eRValc)r:53 1 J T
SITE ADDRESS: 6919 E 10th SU " I
Building Owner
Name:Jackson Phone:6919 E 10th Fax:
Address:same City: State: Zip:
Contractor
Name: Norm's Excavating Inc Phone:509-928-0580 Fax: 509-448-4906
Address: P.O.BOX 30873 SPOKANE State:WA Zip:99223
License No: NORNISEI972BM City Business Lic:
Contact/Project Manager,
Name:TINA LINGO Phone:509-928-0580
#UNITS
PLUMBING FIXTURE ON A TRAP 1
TOILETS
URINALS
TUBS 1
SHOWERS(per trap)
Lay/Basins.Bar,Floor,Kitchen,Laundry.Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat t
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area,Case.CoiL Trench,Condensate
ROOF DRAINiOVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation.Alterations,Repair,Reversals 1
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:/lwww.spokanevallev.oraf under the quick links for Forms,Master Fee Schedule.