2013, 05-13 Permit App: BLD-2013-0867 Drain Connect May 13 13 12:44p Norm's Excavating, Inc 509-448-4906 p.4
Community Development
Permit Center
a„'nr 1ane 11703 E Sprague Ave, Suite B-3
11 Spokane Valley,WA 99206
PHONE: (509)720-5240
FAX: (509)688-0037 64-42Z-40/ -D g 6 7
IPERMIT FEE: # 32,00 I
Plumbing Permit Application ❑Commercial ® Residential
SITE ADDRESS: 12118 E 27th
Building Owner
Name:Peelers Phone:425-402-4079 Fax:
Address:22411 E 53rd Se City:Bothell State:Wa Zip:98021
Contractor
Name:Norms Excavating Inc Phone: 509-928-0580 Fax:448-4906
Address:P.O. BOX 30873
City:SPOKANE State:WA Zip:99223
License No:NORMSEI72BM City Business Lic:
Contact/Project Manager:
Name:TINA LINGO Phone: 509-928-0580
tl UNITS
PLUMBING FIXTURE ON A TRAP
1
TOILETS
! URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS PreplCulinary Meat
DISHWASHER
CLOTHES WASHER _
' GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area,Case.Cod,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS _
FOUNTAIN.DRINKING
WATER PIPING/DRA1N-IN WASTE Installation,Alterations,Repair,Reversals t
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 ppinn,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature/` I
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CURRENT FEES AVAILABLE AT:http:f/www.spokanevaIlev.or4'under the quick links for Forms,Master Fee Schedule.