2013, 02-06 Permit App BLD-2013-0202 Plumbing Fixturesart of
spol_ne
.valley.
remit Lenter
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevallev.org
Community Development
Plumbing Permit Application
SITE ADDRESS: ! Zgo Z E Mt' S 5 CO v
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PERMIT NUMBER: s (d -1 3 -- zo
PERMIT FEE: c-c-c9e>7
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Building Owner
Name: in -p t) crti L
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Phone:
Fax:
Address:
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City: 5POK s V
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State:
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Zip:
Contractor
Name: Cn () De
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Phone:
Fax:
Address: (O--SP�!�
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City:�)Ck
State: :�,�
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Zip: Q Q
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License No:
City Business Lic:
Contact/Project Manager:
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Name:
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Phone:
PLUMBING FIXTURE ON A TRAP
TOILETS
# OF UNITS
URINALS
TUBS
SHOWERS (per trap)
SINKS
DISHWASHER
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
CLOTHES WASHER
GARBAGE DISPOSAL
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
INCEPTORS
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevaney.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309. doc