2010, 08-12 Permit App: 10002477 Plumbing Fixtures�p®lean
�alley�
Community Development
Plumbing Permit A
SITE ADDRESS:
Permit Center
11703 E Sprague Ave, Suite B-3
PERMIT NUMBER:
Spokane Valley, WA 99206
Address:
(509)688-0036 FAX: (509)688-0037
PERMIT FEE:
permitcenterdsspokanevalley.org
Name:
plication
❑ Commercial L Residential
Cis E 17*-,-
License No:
Building Owner
Name:
6 '�M Phone: Fax:
Address:
-7.j� City: State: Zip:
Contractor
Name:
Phone: Fax:
Address: f G� / �-
CCity: �� State: Zip
�Ivt :
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS ertra
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Prep/CulinaryMeat
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
ASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT:.http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploadsICommunity_DevelopmentIDocuments/Forms/BuildingIPlumbingPerTnitAppl icationO4O3O9.doc