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2010, 07-28 Permit Application: 10002284 PlumbingSpokane jsvalley. r Permit Center 11703 E Sprague Ave, Suite B -3 Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 permitcenter @spokanevalley.org Community Development Plumbing Permit Application ti 0 Zz84 1 PERMIT NUMBER: PERMIT FEE: SITE ADDRESS: Commercial FiResidential Building Owner Name: �\3"\c2.\` p e �� � S Phone: S©9 ^ 9 f� t _cc ".L 00� Fax: es , \� \\ Address: 1 �1��� v� City:s 4, f (p State: A Zip: eiC� y 4 l\ `A Contractor 1 Name: Gj�h� ` S Pku �',.I Phone: C c C�, i\O \ Fax: \ ` 1/ Address: City: State: Zip: License No: So �irs, c., P ,, /� r zvt_. City Business Lic: ? lJl9 1` Contact/Project Manag r: Name: \g Q._k_e_ Phone: 6 R 00 L # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS 2-- URINALS TUBS i SHOWERS (per trap) SINKS Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food, Prep /Culinary Meat DISHWASHER CLOTHES WASHER Ir 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 (GASH ❑ CHECK ❑ VISA ❑ MC Card# SIGNATURE: EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http: / /www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule. http://www.spokanevalley.org/uploads/Community Development/Documents /Forms/ Building /PlumbingPennitAppl ication040309. doe