2015, 06-01 Permit App: BLD-2015-1267 Plumbing Fixtures Community Development I P r o l e C t # .a)`�-
*Mime 11703 E Sprague Ave,Suite 11-3 RECEIVED
Permit Center C./i/
0000. V r Spokane Valley,WA 99206 I
PHONE: (509)720-5240 I
FAX: (509)688-0037 ! JUN I,, � 5
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Plumbing Permit Application 0 Commercial el esident��V P�Rn�,r CCJTC,P T
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SITE ADDRESS: C u e f —'
Building Owner - --
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Name: /4p Stir de
//(gte, I� Phone: c).42— Fax .�
Address: 5-57 / /1`614.-ie City_ / C7&il ra- State: V/7( Zip:
Contractor
'7
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business tic:
Contact/Project Manager.
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS 3
URINALS
TUBS 2.
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 7
INCEPTORS ---..Signature �
CURRENT EES AVAILABLE AT:htto://www.sookanevaliev.oral under the quick links for Forms,Master Fee Schedule.