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2013, 02-19 Permit App: BLD-2013-0261 Plumbing FixturesSpo kane Valley° remit center 11703 E Sprague Ave, Suite 13 -3 Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 permitcenter (a.spokanevalley.org Community Development Plumbing Permit Application SITE ADDRESS: 3c'© e S, PERMIT NUMBER: PERMIT FEE: z� Commercial (Residential Building Owner 77- d W P ,i1' S i) Name: -tom Phone: Fax: +2rRY' Address: Xrj S$_'e AO 4-16 City5'„ / ,% State: ti f/_ Zip 7/6 l! �l Contractor I 1.191 `g► �CSi9 ) Name: Q hone © Fax: �_ /Z�at�� f Address: / Cit J � 7 �1 , We /4e5 / �%%_______y k-41 State: — Zip: ,/ 2Y� y i��7 LOd 7 License No: a f/ 672 t^_ t� City iness Lie: ContacUPrgiectManager: - €bite 1312-14-414)4- Name: Phone: Phone: # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS 1r URINALS TUBS SHOWERS (per trap) 1 Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food, SINKS Prep /Culinary Meat CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN ROOF DRAIN /OVERFLOW DRAINS FOUNTAIN, DRINKING Area, Case, Coil, Trench, Condensate WATER PIPING /DRAIN -IN WASTE WATER USING DEVICE PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER INDUSTRIAL WASTE PRETREATEMENT INCEPTORS REPAIR OR ALTERATION ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE MEDICAL GAS INCEPTORS Installation, Alterations, Repair, Reversals Ice and /or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler Inctudin If Gas, See Mechanical traps, vents except kitchen type grease interceptors functioning as fixture traps Water piping, drainage or vent piping Other than atmospheric type vacuum breakers ❑CASH ❑ CHECK ❑ VISA ❑ MC Card# SIGNATURE: EXPIRES: VIN: Project # e kI-i3 _ 2 CURRENT FEES AVAILABLE AT: http: / /www.spokanevailey.orq/ under the quick links for Forms, Mast: Fee Schedule. RECEIVED FEB 1 9 2013 http: / /www.spokanevalley.org/uploads /Community Development/ Documents / Forms /Buitding/PlumbingPermitApp ication040309.d V PERMIT CENTER oc SUB #11- REV, #