2013, 10-03 Permit App BLD-2013-2032 Plumbing FixturesS okane
.Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (5091688-0037
Plumbing Permit Application
SITE ADDRESS: /0 S 2 Z
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial 4I-Residential
Building Owner
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Name: V-C..sdvi L,v.n,C:�yv�.c,.r�. Phone: gre) 9-i q / -s7 96 Fax:
Address: (O.Sy2 h Fe pre . Or- City: Seo is ,.. c [A/1er State: l✓ /f Zip: 12Cg
Contractor
Name: Phone: ; = " Fax:
Address: City: % State: Zip:
License No: i Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
Cr 15-
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
4 WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
.4'- ROOF DRAIN/OVERFLOW DRAINS
I
FOUNTAIN, DRINKING
rl-- 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
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
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/filestorage/124/938/210/948/1496t2743/Plumb_App.doc