2013, 05-14 Permit App: BLD-2013-0869 Plumbing Fixtures Community Development 2 4�
Permit Center Project # 13'd-l3-8 6
Sj"`�Y i iii a 11703 E Sprague Ave,Suite B-3 RECEIVED
jV'j"" Spokane Valley,WA 99206
alley` PHONE: (509)720-5240
FAX: (509)688-0037 MAY 14 2013
Plumbing Permit Application ❑ Commercial Residential J CS\� ICENTER
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SITE ADDRESS: O
(5 -"-J I �StK /ice 675 '' j REV, #
Building Owner
Name: Phone: Fax:
Address: G 3 0 $ c 'C' ' S'Weoft,, / City: State: Zip:
Contractor r�r
Name: RRe1/t°N ( p(4f�, `�-, Phone:So et 77(�_C(19 3 Fax:
Address: 5 i' s tGl✓I� City:S/ riJG�CCl/I�. State: {/(( Zip:
License No: //�UU� / `r a'f �e u;V p 56s-0 City Business Lic:
Contact/Project Man-ger:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
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 4 1
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.