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2013, 08-12 Permit App: BLD-2013-1596 Plumbing FixturesAug 1213 10:40a Norm's Excavating, Inc arty Valley s Community Development Permit Center 11703 E Sprague Ave, Suite B -3 Spokane Valley, WA 99206 PHONE: (509) 720 -5240 FAX: (509) 688 -0037 Plumbing Permit Application ❑ Commercial X❑ Residential 509 - 448 -4906 p.2 Project # Btd— /3__ --L5 6 RECE VED SITE ADDRESS: 812 S Bannen AUG 1 2 2i3 •cV PFRNII PERMIT FEE: CFNTEn Building Owner Name: Samuelson Phone:496 -8689 Fax: Address: same City: State: Zip: Contractor Name: Norm's Excavating Inc Phone: 509 - 928 -0580 Fax: 509 - 448 -4906 Address: P.O. BOX 30873 SPOKANE State: WA Zip: 99223 License No: NORMSEJ972BM City Business Lic: Contact/Project Manager: Name: TINA LINGO Phone: 509 - 928 -0580 # UNITS PLUMBING FJXTURE ON A TRAP TOILETS I URINALS TUBS 7 SHOWERS (per trap) SINKS LavlBasins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food, Prep/Culinary Meat t DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING:DRAJN -iN WASTE Installation, Alterations, Repair, Reversals 1 WATER USING DEVICE Ice andlor 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 RE PAIR 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 • —j CURRENT FEES AVAILABLE AT: http: / /www.spokanevalley_oraf under the quick links for Forms, Master Fee Schedule.