2013, 09-12 Permit App BLD-2013-1832 Plumbing FixturesS �liA.ilC
P Valley -
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application
SITE ADDRESS: I I i 3 ' Oyes
PERMIT NUMBER:
PERMIT FEE:
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❑ Commercial
Residential
Building Owner , ni L(-C-
Name: 0040 Phone: 709--i72(D/%J.'S— Faxqq
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Address: / ti City: �j�' State: f� 1t� Zip: / / b
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Contractor c_.v,.; )4 (A5 I sLA))
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Name: Nh`CA4_ Iklit Phone: Fax
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Address: it .l City: 5tv > .,`,Q_ State•7,j ._ Zip: , y' 2 6
License No: City Busi.ess Lic:
Contact/Project Mane
Name: / M 1-- Phone:
Name:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
1
URINALS
TUBS
SHOWERS (per trap)
I
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
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DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
.F WATER SOFTNER
fiLD
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FLOOR DRAIN
Area. Case, Coil, Trench, Condensate
' ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
4' WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
4 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 1
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 / / 1 A
.1
Signature ✓/,,�✓�/G ��C/
CURRENT FEES AVAILABLE AT: htto://www.spokanevallev.ora/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/filestorage/124/938/210/948/14962743/Plumb App.doc