2009, 10-26 Permit App 09003466 Plumbing FixturesSliokane\i'
%alley -
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perm i tcenter@so okan eval l ev. ora
PERMIT NUMBER: 2 •3(7/&
PERMIT FEE:
Community Development
Plumbing Permit Application
SITE ADDRESS: 2 1 S [— c l
❑ Commercial
Residential
Building Owner �%L S p ' ,�: `a ,a .. • e,E� �� ,��/,2i2,,�,
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Name: Phone: Fax: �%/
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Address: Ci State: Zip:
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Contract r
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: �e Gij,.i7/jjj/�
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Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
1
URINALS
TUBS
1
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, IGtchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/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, Repair, 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
1161!
`
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
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ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH
Card#
SIGNATURE
CHECK ❑ VISA ❑ MC
EXPIRES:
VIN:
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CURRENT FEES AVAILABLE AT: http://www.spokanevalley-orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Bui lding/Plumb ingPermitApplication040309.doc