2011, 03-21 Permit App 11000631 Wtr Htrpokanan c e 7 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: Spokane 6
,,, %e Spokane Valley, WA 99206 11
Hey- (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
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Community Development
Plumbing Permit Application ❑ Commercial ;; esidential
SITE ADDRESS --'�' r ' f . t —mss C®D(p %LI
Building Owner C /'
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Name: Phone: Fax:
Address:
/. C , i <� City: N ' State: Zip:
ContractorIF
5c�1 /Yl`.f//.S D 115 v Phone: 5�% _'C O 7 Fax:
Address:
city: S �/�n e State: Zip:
License No: r City Busffiess Lic:
Contact/Project Manager/:'
Name: Phone:
CAYIKCS:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.or_q under the quick links for Forms, Master Fee Schedule.
http://www. spokanevalley.orgluploads/Community_Development/Documents/Forms/Building/PlumbingPermitAppl icationO4O309. doe
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinavy Meat
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
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
REPAIR OR ALTERATION
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
If Gas, See Mechanical
Including traps, vents except kitchen type grease interce tors functioning as fixture tra s
Water i in , drains a or vent i in
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
r'lre cu n n
CAYIKCS:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.or_q under the quick links for Forms, Master Fee Schedule.
http://www. spokanevalley.orgluploads/Community_Development/Documents/Forms/Building/PlumbingPermitAppl icationO4O309. doe