HomeMy WebLinkAbout2011, 05-31 Permit App: 11001544 Plumbing Fixtures Permit Center
S rkane 11703 E Sprague Ave,Suite B-3 ,=-'y�L-
Spokane Valley,WA 99206 PERMIT NUMBER: t
Valley (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
permitcenter c(�,spokanevalley.org
Community Development
_Plumbing Permit Application / L d n Commercial esidential
SITE ADDRESS: _ 7.5-o6 £ /27-h / o -
Building Owner
Name: / Yr4�(.v^'i Phone: Fax:
eYvlon r �-s�o�i✓1 S��f 9Z'8 -D�'C� ' I
Address: -7 c>0(p E „kb City: 4201ea li V State: /,/� Zip: 9'92/2_
Contractor 4t
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
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
OCASH CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Plumb ingPermitApplication040309.doc