2014, 04-08 Permit App BLD-2014-0734 Plumbing FixturesPermit Center
11703 E Sprague Ave, Suite B 3
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
ncrmitecnte (asnokanevaliev.org
Community Development
Plumbing Permit Application
PERMIT NUMBER
PERMIT FEE:
❑ CommercialResidential
SITE ADDRESS:
Building Owner
`AL-C17
Address:J
5
/ -0;_e e la7s.f
Contractor
Name:
Name: La r ry ffl a ! Exc.er c. a r,c
Address: -`7 / a 7 E. fit.-7,1--� e r e
License No: LA R Rv :/h E 7 Y Af d
Contact/Project Manager,
Name:
Phone: , ,Z/ . 3y/JC— Fae
CitY: ,57 K ll y
State: 1,(f/1 Zip: rye,/
Phone: 4 ' 1
City
City Bus nn ic:
acc, Fac , aa- 5o50
State: LAM
Zip:
Phone:
# OF UNITS
PLUMBING FIXTURE ON ATRAP
TOILETS
URINALS
TUBS
-
SHOWERS (per trap)
SINKS
Lay/Basins, Bar, `Floor, Kitchen, Laundry, Ubiity. Janitor. Photo, X-ray, Food,
Prep/Cufinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Any. Case, Coil. Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN. DRINKING
WATER PfPiNG/DRAIN IN WASTE
`
� 7 �/ rO-i 64 5 Installation. Alterations, Repai�eversls �r' �C E�
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
Indudrng 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
INCEPTORS
OCASH ❑ CHECK D VISA 0 MC
Card#
SIGNATURE:
CURRENT FEES AVAILABLE AT: httpJ/wvnrv_spokanevafiey.oraf under the quick finks for
ngt"rreerli
Project m U P - 'c i (_ C�
RECEIVED
APR 0 8 2014
CSV PERMIT CENTER
le.
REV. #( ij
cf