2015, 02-06 Permit App: BLD-2015-0223 Plumbing Fixtures •
Community Development
S_ Permit Center
7 e 11703 E Sprague Ave,Suite B-3
�s' alleym
Y Spokane Valley,WA 99206
PHONE: (509)720-5240
FAX: (509)688-0037
PERMIT FEE:
Plumbing Permit Application 0 Commercial ,Residential
SITE ADDRESS: `4I I S E. LI Ti-t Ave
Building Owner WinlIM 'SOUS G'
Name: d �I Phone: 5Z7 `4'o,0 ax: 2
I/7--;Address: , / J1
City: State: (V 4 Zip: 0 I p2acq J
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Contractor O
Name:
Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP • 19-
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat tio
DISHWASHER
CLOTHES WASHER •
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
Project # ( L.D-,Q�IS-C��a3
CURRENT FEES AVAILABLE AT:http:/lwww.sookanevalleV.oro/under the quick link-for Fornis,Mauli H .
RECEIVED
e e-12
FEB 0 6 2015
CSV PERMIT CENTER
SUB # j REV.