2015, 04-21 Permit App: BLD-2015-0878 Plumbing Fixtures Community Development
• Permit Center
f"'0 kadO a 11703 E Sprague Ave,Suite B-3
1�LLli Spokane Valley,WA 99206
jValley' PHONE: (509)720-5240
FAX: (509)688-0037
IPERMIT FEE:
Plumbing Permit Application ❑ Commercial [Residential
SITE ADDRESS: ttn c`T to1-14 1-1"4-J' -) SPclt;-lst"E- \-146-lrLEY� kik'
Building Owner
Phone: „�3 '$4g Fax:
Name: e�l e., 1,44.4:7�� 00�I�S � ZAP'
Address: 2$Z it 1,4. .4 t v. f-s2 . City: -,r0.1..._.
,r0 .=1�N l; State: pis... i1
232_
Contractor Fax:
Name: Phone:
City: State: Zip:
Address:
License No: LICity Business Lic:
CRt� 1� I-el6�i'7:-j L
Contact/Project Manager:
Name: Phone:
#UNITS A
PLUMBING FIXTURE ON A TRAP IT
TOILETS
URINALS
TUBS111
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS
Prep/Culinary Meat
1
DISHWASHER 1
CLOTHES WASHER t
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 I
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical
li
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 _ Project #230:_.-2
� '�7�� RECEIVED ego
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CURRENT FEES AVAILABLE AT:http:/Iwww.sookanevaltev.orq/under the quick links for Forms,Master
r�Fee Schedule.
A! R 2 101
CSV PERMIT CENTER
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