2014, 05-06 Permit App BLD-2014-0962 Plumbing FixturesCommunity Development
Permit Center y �.
S11703 E Sprague Ave, Suite B-3
pMSpokane Valley, WA 99206
jVallev PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS:
Project
RECEIVED
MAY 11 Q014
2014
CSV PE
REV. #
Building Owner -
Name:
Phone: Fax:
Address: s
City: 5.60 tate:
Zip:
Contractor
Name:
Address:
Phone: �� Z . C� ob Fax:
City: State:14
- 5'—JG? Q
License No: R 2 -z
City Business Lic: S�
Contact/Project Manager: M
_ 04—' W'
Name:
Phone: Z '�
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERSertra
/
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Prep/CulinaryMeat
2
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 X_11 v Af c2C
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.