2015, 04-09 Permit App: BLD-2015-0777 Plumbing Fixtures ,• Community Development
YPermit Center
"T`` o n� �""'' 11703 E Sprague Ave,Suite B-3 Project # . d y'5 -0?7 7
'S`�''^y' Spokane Valley,WA 99206
Vt111cPHONE: (509)720-5240 RECEIVED
FAX: (509)688-0037
0 9 2015
Al
PERMIT FEE:
Plumbing Permit Application ❑ Commercial .Residential
/ '/ ' LV PE HMIT CENTER
SITE ADDRESS: /a, 7� 9 /O+L'`-
SUB # I—Li REV. # ( I
Building Owner
Name: f dia s , ejq7
2 A k. Phone: 1 '— )i 3 Fax:
Address: pi) 3D>9 Z City: o State:�� Zip21 22 3
Contractor 7
Name: 7 p rez, Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS 0 3
URINALSta
TUBS
SHOWERS(per trap) '
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER /
CLOTHES WASHER I
GARBAGE DISPOSAL I
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals I
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 I
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
Ai(Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevallevorg/under the quick links for Forms,Master Fee Schedule.