2014, 06-26 Permit App: BLD-2014-1502 Piping Community Development Project = g61C14OI'1—' Sc .
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SoriAll 11703E Sprague Ave,Suite -3
P Spokane Valley,WA 99206
jValley PHONE: (509)720-5240
FAX: (509)688-0037 • JUN 2 6 2014
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Plumbing Permit Application 0 Commercial E: Residential C S FPg$tiii " N T F R
SUB #,_1 REV.
SITE ADDRESS: '/1/454:6";-7 C
Building Owner
Name: Phone: Fax:
Address: - City, 7>ohy• State:"‘", Zip:
Contractor Fax:
Name: Phone:
Address: City: State: Zip:
License No: City Business Lie:
ContactlProject Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,IGtchen,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
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.orui under the quick links for Forms,Master Fee Schedule.