2010, 04-23 Permit App 10001143 Water Piping000, Permit Center
*' 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER:
a� Spokane Valley, WA 99206
;/ ��7' (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
!� permitcentenizisookaneva imorg
Community Development
Plumbing Permit
SITE ADDRESS:
Commercial KI Residential
Building Owner
r L
Name:
Phone:Cfat�_� y — Fax:
Address: 790f E Eel c/i
city: state: C ✓4
zip: '9 z /Z
Contractor 2
Name:
Phone: Fax:
Address:
city. State:
Zip:
License No:
City Business Lic:
Contact/Project Manager.
Name:
Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS trap)
SINKS
LavBasins, Bar, Floor, Kitchen, Laundry, Ublity, Janitor, Photo, X-ray, Food,
PreplCulinary Meat
p
A
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
Installabon Aherabons Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib steamer prouter, 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 pipinQ,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than aftnospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
DCASH D CHECK D VISA D MC EXPIRES:
Card#(� VIN:
SIGNATURE: (� `,Q }/
CURRENT FEES AVAILABLE AT: htto://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.
http://W Ww.spokwevalley.orgluploadsICommmity_DevelopmenUDocuments/Forms/Building/PlumbingPermitApplicationD40309.doc