2009, 07-15 Permit App 09002128 Plumbing FixturesSfigiane
.000Valley.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(a,spokanevallev.oro
PERMIT NUMBER: 2 Z�3
PERMIT FEE:
Community Development
Plumbing Permit Application
SrrE ADDRESS:
n Commercial n Residential
Building Owner ,,get 1 ���
Y �l
Name: r.— �)
(o Q+. y J b et t ve 5- Phone: ,� � _
�*��Fax:
7
Address: ��3-�- /3h Jr, • !
f h t /( City. Z. 6 t": 4!�er Statek)4 Zip: prey.
F �`
Contractor
Name: -^ Phone: ` Fax:
/1'��-�y- ,ZED �' �/� j
pa.� ;I"v��ef/
/-'
/'Address: c7 9 g-0 O City: d a 'l m !e „LI L� Zip:
c
License No: City Busi�ess Lic:
Contact/Project Manager:
Name: (o a l aGC F /Li Phone: 7, - $ ii '
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
p,
URINALS
---, ---
TUBS
/r
SHOWERS (per trap)
/�
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
f
/
CLOTHES WASHER
/
GARBAGE DISPOSAL
/
WATER SOFTNER
' '"--. --.. -•--.
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
—, —� —`
ROOF DRAIN/OVERFLOW DRAINS
'. --.
FOUNTAIN, DRINKING
f� .--__.
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
f
WATER USING DEVICE
Ice and/or Coffee makse bib teamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
r1
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
r- '"
INCEPTORS
CASH ❑ CHECK ❑ VISA D MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http:f/www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley. org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitAppl ication040309.doc