2015, 03-03 Permit App BLD-2015-0367 Plumbing FixturesSpokane
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS: ! Z 7/g 2 • /2,X 044) W11 ,1
I PERMIT FEE:
Building Owner
Name: • Phone: Fax:
Address: City: State:
Zip:
Contractor
Name: ,7 jpfe-- RA,it m/3i Pf'. Phone: Sof?- £135- I ,X, Fax:
Address: p`? cam. L.✓ izOSS
City: % lc State: cAfyq
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Zip:
QI�ZO 5
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License No: f �� 5 o 2 City Business Lie:
ContactJProject Manager:
Name: (66 7, dTTlIr.« Phone: so9 - 4,3 S- 141:.
# UNITS
PLUMBING FIXTURE ON A TRAP
7
• TOILETS
Z
URINALS
TUBS
SHOWERS (per trap)
z'
SINKS
Lav/Basins, Bar, Floor, lQtchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
Z.—
• DISHWASHER
1
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
"rL
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 .i.ing, draina.e or vent .i.ing
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS __
ProjectD#;?�
CURRENT FEES AVAILABLE AT: http:l/www.spokanevaltev.orq/ under the quick finks for Forms, Master FR EIQUE 1 V E D D
MAR 0 3 2015
CSV PERMIT CENTER
SUB # 1 REV.