2014, 09-18 Permit App: BLD-2014-2239 Plumbing Fixtures Community Development ______
Permit Center
soka11703 E Sprague Ave,Suite B-3 Project -# _LDC;)0(4r37
Spokane Valley,WA 99206
.10
y'dly PHONE: (509)720-5240 RECEIVED
FAX: (509)688-0037 )...-.
SEP 18 2014
PERMIT FEE:
Plumbing Permit Application ❑ Commercial residential
Fav H HM!T CENTER
SITE ADDRESS: /i) �� sub # ?EV. #
Building Owner - — -
Name: eGrbt,1 (...L. ."` y,N,g, Alitc,FA Phone: VQ 6?7(5 Fax:
Address: l I/J E L'61}4 - City: S�k,�,_(--. State: L,.,,t._. Zip: '+2 L0-
Contractor
Phone: �. r; Fax:
Name: /'�1�1�z�GY/�I(.�'v S /37 �i�,A iGC'Cir�Y/��i �i'cs./ ` �yo cl�- �S�I-L'
Address: /-7 Lin 6- Z t7Ti4 C._ City: C)e)iC4( we, State: Zip:lye/77
License No: /Z.C2V0 V B C.-9&P O a City Business Lic:
Contact/Project Manager: &P
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, I
SINKS Prep/Culinary Meat
DISHWASHER I
CLOTHES WASHER
GARBAGE DISPOSAL lI
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 Ic nd/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler I
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 /
CURREN EES AVAILABLE AT: http://www.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.