2015, 03-23 Permit App: BLD-2015-0607 Plumbing Fixtures Community Development _
Permit Center C /
Sliokane-
11703E Sprague Ave,Suite B-3 Project -�+6(_ j�-61 S 0 tj 0\j
PHValley,WA 99206
PHONE:ONE: (509)720-5240 RECEIVED
FAX: (509)688-0037 •
MAR
PE2 RM3 2015
IT FEE:
Plumbing Permit Application U❑ Commercial )4 Residential —
SITE ADDRESS: 61�( C f ! l^ CSV PERMIT CENTER
SUB # 1 f RFV
Building Owner
Name: 5kJQ KPhone: 515 S'J -32L( Fax:
Address: k1 G Iyk City: 'Ck.c State: Zip: c621 Z
Contractor
Name: Kwt}.z (2,5\-n \i.,N Phone: 56`(-270'ci001 Fax:
Address: City: 3.20k.‘,..,4State: LA. Zip: 'ci 215.
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS 1
SHOWERS(per trap)
Lav/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
Signature //,1
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/under the quick links for Forms,Master Fee Schedule.