2014, 01-21 Permit App BLD-2014-0090 Plumbing FixturesSpokane
r,l 00 Valley
Co Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
CSV PF
Plumbing Permit Application ❑ Commercial Ni Residential
I CEP:
PERMIT FEE:
SITE ADDRES
Ao (5• Parb�rh of
12.-
Building Owner
Name: j".rn (..c,id Si-v., t /70„ r4 Li_ iPhone: 3 "7t`J, 4vv5-) Fax:
Address: City: State: Zip:
Contractor
Name: ,„ lPhone: - / co Fax:
Address: �%L /G iY /1,r,4t �'/cf City: 5 n 407stt t,,,r State: cp� Zip: 5'( 206
License No: g-44 E R A7M'1CG L Z City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
Z
URINALS
TUBS
Z
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
---- I-_.-_-_�
CLOTHES WASHER
ri
Pr-CCt
J
GARBAGE DISPOSAL
y #
I "1 `-
/ p
WATER SOFTNER
!
R �
� � � V
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
JA
4 2 1 2014
FOUNTAIN, DRINKING
/
WATER PIPING/DRAIN-IN WASTE
Installation. Alterations, Repair, Reversals CSV P:
R M 1 T thE N T
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbo6atQr,:: ggol
E R
PRIVATE SEWAGE DISPOSAL SYSTEM
tip
1J t�
R E V, .M
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.orgl under the quick links for Forms, Master Fee Schedule.