2011, 03-01 Permit App 11000472 Wtr Htrpokers
Valiley'
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permiteenter@spokanevallev.org
PERMIT NUMBER: I `- l� 7
PERMIT FEE:
Community Development
Plumbing Permit Application
I
Commercial
Residential
SITE ADDRESS:
22
fl 6- Rrazeaxt y
Building Owner
Phone: Qp_ (2& ' Fax:
Name: / JJ 11 a S/ M soon
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7Sp0,Gn
Address: J�
pelf ��i 93 �3 E Brxx Gt Al ay city:
P I� //9ate: n_ Zip:
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Contractor / /
/1 I
Name: SCO `/Vi4 if;.$cC SQO�CGne FGIIS T lu1o7, no e: 9s/-6So7 Fax:
Address: 522 0 ti - �, L (7 - Cit� S d State: to Zip: 9 �/
he 9 -�
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License No: s po k h F } cici? , Z City BusinessLie: ye
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Contact/Project Manager:
Name: / / ' -I CA_ Phone: CO/ _ D(3Ct(�
!�/
/t OF UNITS
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 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
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community DevelopmenUDocuments/Forms/Building/PlumbingPermitApplication040309. doc