2014, 12-09 Permit App BLD-2014-2921 Plumbing FixturesSparikane
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Project ??14)-3-0
RECEIVED
uEt; 0 9 2014
CSV PERMIT CE
Plumbing Permit Application ❑ Commercial [ Residential
SITE ADDRESS:(
! REV.:
Building Owner
• Phone: yZ7Y- 26 7 Li Fax
Name: L c i4.%
k L/c•,
eN :Pc,
City State:Zip: y o 3 7
Address: .g2., 1?% I— ��c. : c; e 1, cv � vr, (( tit +
Contractor
Name: `l tery 's Phone: �iScf _ 7Cc`f Fax
e u c �j
Address: -) > City: S� /,:, G a . f State: t,l ,1Zip: Gi Fi
License No: City Business Lie:
Contact/Project Manager:
Name: Phone:
UNITS
PLUMBING FIXTURE ON A TRAP
•
TOILETS
.
URINALS
TUBS
SHOWERS (per trap)
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
I+
SINKS
. DISHWASHER
CLOTHES WASHER
•
GARBAGE DISPOSAL
WATERSOFTNER -
Area, Case, Coil, Trench, Condensate
FLOOR DRAIN
DRAINS
ROOF DRAIN/OVERFLOW
FOUNTAIN, DRINKING
Installation, Alterations, Repair, Reversals
WATER PIPINGIDRAIN-1N WASTE
USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer: carbonator, swamp cooler
r WATER
PRIVATE SEWAGE DISPOSAL SYSTEM
If Gas, See Mechanical
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
INCEPTORS
ALTERATION
Water piping, drainage or vent piping
•
REPAIR OR
ATMOSPHERIC TYPE VACUUM BREAKER
Other than atmospheric type vacuum breakers
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
INCEPTORS
Signature
CURREN FEES AVAILABLE AT: http:llwww.sookanevallev.ora under the quick links for Forms, Master Fee Schedule.