2013, 04-22 Permit App: BLD-2013-0699 Plumbing FixturesPermit Center
11703E Sprague Ave, Suite 3
Spokane Valley, WA 99206 R ri p e C t
(509)688-0036 FAX: (509) 88-00
perm iteenter@spolcanevalley.org
Community Development
Plumbing Permit�Application
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SITE ADDRESS: i0 4-.2 f 7
#b1c1-1.3.6
RECEIVED
44/VERt,111
APR 2.1 ?flfl
CENTER
PERMIT NUMBER:
PERMIT FEE:
[1 Commercial I C Residential
❑CASH El CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.
J
Building Owner I S U B
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Name: f�"At%- ion. 7;41.,i rjr.i,�%__.__11.__'f0fi h6+�l / 4:1
Address: , /� '2
Sst r� z / City.. O Y'z ��y.__.._: : - Zip:
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Contractor
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Name: ] i
r r MI 1
c r Ey eA v 1 n5 Phone: !i A1sr) Fax: �^0 I ®
' � �� _ J
D�
Address:
�State: w A Zip: 19AIA
7,i�I w -ec Aae City- �T ]_(�� . V
License No:
City Busir Lic:
Contact/Project
Manager:
Name:
Larry
►y� Phone: a I F . 3 3
Larry J i i icrr
11
# OF UMTS
PLUMBING FIXTURE
ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS
(per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
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
WAS 1E
r
A,O)'r (t / ✓t Installation, Alterations, Repair, Reversals 5 e i e r/
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
INCEPTORS
PRETREATEMENT
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC
BACK FLOW PROTECTIVE
TYPE VACUUM BREAKER
DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH El CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.