2010, 07-08 Permit App 10002037 Plumbing Fixtures Permit Center
Scn7O1r:„kan e 1
11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: �3
P Spokane Valley,WA 99206
Ualler (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
permitcenter(cr� pokanevalley.org
Community Development
Plumbing Permit Application-7 I I Commercial R°-Residential
SITE ADDRESS: 7 //t/ /. 6 c 9 /1/
Building Owner r ) G C�'C' %��/V- /
Name: L L� J /7 r 4, Phone: Fax:
NA? w /ssc /� l
Address: 77/V tact, City: Siee9/ .� State: �.r,¢ Zip: ??2,2/
Contractor #44/e/C45,-)—) 0,fji I'
Name: r ` �4 .e-e r Phone: Fax:
�Address: /�/42 jt)L,f^// ST City: S1A,K///J�.‹._ State: 4u7,— Zips f,,� ,),—
License No: c c ,4 Q yZioR!pC ty Business Lic:
Contact/Project Manager:
Name: Phone:
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS 1 0 l
URINALS 0
TUBS 0 0
SHOWERS(per trap)
` Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS v2 Z/� / /� Prep/Culinary Meat /3
DISHWASHER �/
CLOTHES WASHER /
GARBAGE DISPOSAL
WATER SOFTNER C
FLOOR DRAIN 0 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 �10.5.44 L,,
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER I If Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS Including trays,vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION 4e-1277121.j 4.9 Water piping,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER �/
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS M()
INCEPTORS N 0
CASH 0 CHECK ❑VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Plumb ingPermitAppl ication040309.doc