2012, 03-02 Permit App BLD-2012-0087 Drain ConnectPermit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
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Community Development
Plumbing Permit
SITE ADDRESS:
ee
PERMIT NUMBER: — 2 E
PERMIT FEE: q 3 ,
Commercial
Building Ooaer 92a_ISR -(-
Name: AelY LL L e �r- j^ a isPhone: 02 0-3773 Fax:
Address: City: Stair. Zip:
Contractor
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Name: CiY'Y' <�(� V- Z�iYCwl(G:'tt� Phone: aL`..�a4>0 Fax. .Z.2 (C7
License: City S o u. F stare: �' Zip: 9 d (.Z
License No: City Business L;e:
Contact(Pmjm Manager. --- _---
Name: %" yr /VI i Phone: 2I O - 33.3
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS low trap)
SINKS
Lav/Basins, Bar, Floor. Kitchen, Laundry. Utility, Janitor, Photo, X-ray, Food,
Prep/CulinaryPrep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case. Coil. Trench. Condensate
ROOF DRAIWOVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installatian, Alterations, RepatReversals J QWPY
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer Proofer. carbonalor, svramp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas. See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Indudin traps. vents except kitchen type grease interceptors functioning as fodure traps
REPAIR OR ALTERATION
Water piping,drains eor vent pipin
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
-
Omer than atmospheric tevacuum breakers
MEDICAL GAS
INCEPTORS
OCASH ❑ CHECK ❑ VISA ❑ MC EXPIRES: r r OF g -. , —4) 6y
Card# VIN /llii/j �N�VA«EY
SIGNATURE O
By. ~CHMIT 2 201?
CtN)tN
P:\Community Development\02 Adminishation\03 Forms - Official Versions\Permit CenteAPlumbing Permit Application 05-03-09 dgdoc