Plumbing Permit Application Commercial Residential

SITE ADDRESS: ______

Building Owner
Name: / Phone: / Fax:
Address: / City: / State: / Zip:
Contractor
Name: / 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
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
Signature

CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.