2014, 03-12 Permit App BLD-2014-0466 Plumb Fixturesnor
ane
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokaneval lev.orQ
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial Residential
SITE ADDRESS: T!/ 7 5-6-1-K//2 S1/j E !/ ' 4/ / . 7�lv
Building Owner
Name: Phone: T G" Fax:
Addre.�sJ 1 ('r t;,' tk- i-gr4' o1 C 3s00 City3tIAJ VIt L.Lh/ State: d VA_ Zip: 9(1La7
Contractor _
��� aa _ (,, p l/ / J � J `�
Name: I L L J4 viL!, i 1 PhoneLvr'f I L 7 '.-I �L'1 / , Fax: �� �`2. — ��/ �J
Address. f i J o / j f.,� `� . 1 { A v //4 J 1/ %'�!
�-] Q: 7 � ,L'��i L d..rr�� 1 9 S�-��.%.� City;�r:1y71�rL V.'7 LI..G 7 State: i/� �- Zip: r/7'7 '20,6
License No: ]AI Lpiom L EiS, i Le.) City Business Lic:
ContacUProject Manager:
Name: UMA.i i"`1=.IU Kit cic Phone: 6 - -7 y )b
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
�7
o{
URINALS
TUBS
SHOWERS (per trap)
/
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
IL
DISHWASHER
f
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
+ �
cf
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
DCASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
Project # `-�—M I'1— CIO(
RECEIVED
MAR 11 2014
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04 09 dB3loy
°3S�- RMIT CENTER
SUB #
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