2012, 06-07 Permit App BLD-2012-0832 Plumbing FixturesDane
0Valley-
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@sookanevatlev.org
PERMIT NUMBER: 64, . / Z ''3 z
PERMIT FEE: 0 G 7 oo
NNE
Community Development
Plumbing Permit Application
SITE ADDRESS: EV o r! E Biro ccd t,✓ul
ACE
S pakaa-te Va //r
n Commercial
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Residential
Building Owner
Name: Phone: Fax:
CLY11 Phone: s-oR' gg17 75-9(
Address: i�(JCity: State:
s • 5hL'tm-melt Dr i.7rC�,1 a ves wq Zip:
Contractor
Name: �, t1 e�t� p_dc� t-E K Phone: S0q sg - 3 yy -7 Fax:
Address:
Qa. got. 2,5-11 City: 5Fbk4At State:u/,q Zip: ,gaa0
License No: B 01 1 pc Cf 3 S- a".City Business Lic:
Contact/Project Manager: To' - Gos a F�
'1
Name: Phone:
42oS'9l`o'- 76 q:2
# 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/Culinary Meat
DISHWASHER
CLOTHES WASHER
nit PRAC2= hICOr1QAI
WATER SOFTNER
FLOOR DRAIN
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
REPAIR OR ALTERATION
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
Area, Case, Coil, Trench, Condensate
Installation, Alterations, Repair, Reversals
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
If Gas, See Mechanical
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
1
INCEPTORS
['CASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
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/Building/PlumbingPennitApplication040309.doc