2014, 04-07 Permit App: BLD-2014-0687 Plumbing Fixtures Community Development y� �-�
Permit Center pro'ect # - ‘20114 -0S1(p
S okane 11703 E Sprague Ave,Suite B-3 1
P Va11ey1 PHONESpokan:Valley(509)720-5240
,WA 0 5 40206 I RECEIVED
FAX: (509)688-0037
APR 072014
Plumbing Permit Application Commercial❑ Residential l^ �, 13 ---1---
P F R M I T �'F N T RPERMIT FEE:
SITE ADDRESS: 1.D-,0-)--\ C a.5-1-#` Ave- r kl''&A-44-'O(p
L. �= -- -W
Building Owner t
Name: ' h 12."Y�¢� Phone: 609_��$' %7.v Fax:
Address: l 2,pa` E a:5 City: 5 Va(tey State: uj pc Zip: q42,0
Contractor
Name: Phone: Fax:
s\ .,, L �-;�e,�t;k,.-: r�o �-4-ct c�rt�(�'+�. 50�-moi iy��'
Address: 1��3 E 2xc�v\ � City: Se�:ze_�.. oc,,4 State: u,) (a- Zip: �q20 c_.,=,
1License No: Ao/.ACg31 . 5 City Business Lic:
Contact/Project Manager:
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 Li
DISHWASHER
CLOTHES WASHER —
tRBAGE 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 t
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
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orn/under the quick links for Forms,Master Fee Schedule.