2010, 09-13 Permit App 10002867 Water Pipingrermn k-enrer
"' 011e 11703 E Sprague Ave, Suite B-3
PERMIT NUMBER:
Spokane Valley, WA 99206 -)
,Valley (509)688-0036 FAX: (509)688-0037 f L_ PERMIT FEE:
permitcenter@spokanevalley.org
Community Development
Plumbing Permit Application ❑ Commercial ❑ Residential
SITE ADDRESS: / S
LJCASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.orgluploads/Community DevelopmenUDocuments/Forms/Building/PlumbingPermitApplicationO4O3O9.doc
Building Owner
Name:
Phone: Fax:
Address:
City: State: Zip:
Contractor
Name:
Phone: la (-j v r Fax:
Address:1 47 ) a s
City: State: Zi
�.C..o-+ at a r-�S Zip:
License No: V
City Business Lic:
Contact/Project Manager:
Name:
Phone:
# 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/CulinaryPrep/Culinary 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, Re air, 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
LJCASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.orgluploads/Community DevelopmenUDocuments/Forms/Building/PlumbingPermitApplicationO4O3O9.doc