2014, 07-29 Permit App BLD-2014-1800Community 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
Project =W—i ' g
RECEIVED
JUL 2 9 2014
PERMIT FEE:
SITE ADDRESS: l in 3 E I'ft (II (Oyi /bite
Building Owner
Name: C L e. I pa. 1144 Phone: S71 8T ( /g6- Fax:
Address: 1 340 3 E. 04 (-33-t ah ,4t.& City: Spa ka�•e Vbe II e State: / .) . Zip: 15�'rrb
(•� �/ q
Contractor
Name: yS'�-- Phone: Fax:
Address: (� City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
l
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, 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
Including 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 - /% _4
/7V /1
Signature ;41 o�
CURRENT FEE AVAILABLE AT: http://www.spokanevallev.ora/ under the quick (inks for Forms, Master Fee Schedule.