2013, 03-25 Permit App BLD-2013-0500 Plumbing FixturesPermit Center �L 13 - 0 SOe�
'le 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER:
s Spokane Valley, WA 99206
VaE1ey` (509)688-0036 FAX (509)658-0037 PERMIT FEE:
Penn itcenter a).pokaneval ley.org
Community Development
Plumbing Permit Application ❑ Commercial 0 Residential
SITE ADDRESS:
Boildiug:Owner _
Name: Phone: Fax:
Address: City: State: Zip:
.Contractor _
Name: P (�1 Phone: 4.22- SC>Oo Fax: el.
Address: 1/ o E City. State: - Zip: 4 72p6
License No: a �= Z—C t7 i City Business Lic:
Contact/Pr icet mitua l':
Name: a� t Phone:g .7 _ b Gx5it
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
if
URINALS
TUBS
SHOWERS rtra
SINKS
LavBasins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
PreplCulinary Meat
2—
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area Case Coil Trench Condensate
ROOF DRAIWOVERFLOW DRAINS
FOUNTAIN DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation Alterations Repair, Reversals
WATER USING DEVICE
lee and/or Coffee maker, hose bib steamer punier, carbonalor, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, writs except kitchen type grease interceptors functioning as fudure 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
37
❑CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE: -
CURRENT FEES AVAILABLE AT: htto://www.sookanevallev.oro/ under the quick links for Forms, Master Fee Schedule.
http://www.spokmevalley.orgluploWCo==tX_DevelopmmVDocumentsTomsBuilding/PlumbingPemitApplicationO4O3O9.doc
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