2014, 01-10 Permit App BLD-2014-0043 Plumbing FixturesSpociane e
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Plumbing Permit Application El Commercial 0 Residentiai\! p E R Ivrl 1 T CENTER
Community Development
Permi` •rater '-oject # '
11703 prague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
PERMI1 FEE:
SITE ADDRESS: /y . 1(DO'7 &3• 13 i /4 LAB 2
Building Owner
Name: Phone: c Fax:
tC—S Lt'1Ln� �S .L �r(r Inv rC
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Address: pi-) , ^X 14 tr-i L{ City:
' iL._ \j y State: tiu A Zip: Ot 7 i t+
Contractor T
Name: S �D <eiZ 5 me_ Phone: r q ( _ , 2-__ci a Fax:
Address: ?t, '� JX '1 Ll t —li 4 City: S' eiZ` - \iState: ,u-\. Zip: q i %4
License No: S1C--S ‘3.,..,;.6 y 11 - p City Business Lic:
Contact/Project Manager:
Name: yi�� .‘ ,.poi Phone: q q 1 _& Z e 0
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2-
URINALS
TUBS
SHOWERS (per trap)
%
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
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DISHWASHER
CLOTHES WASHER
/ram
GARBAGE DISPOSAL
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WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN. DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
y
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
3
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
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Signature
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CURRENT FEES AVAILABLE AT: http://www-spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.