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2009, 08-06 Permit App: 09002432 Water Piping
sinoiatie .000 Valley- Permit allJ Permit Center 11703 E Sprague Ave, Suite 8-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 pemritcenteraspokanevalley ore Community Development Plumbing Permit Application PERMIT NUMBER: 9-2�� Z PERMIT FEE: z3 - in Commercial In Residential SITE ADDRESS: Building Owner - _ ..- -- ... ..: . . . .. .. - -_ _ - _ __ - _ _- __ _- - - .. - - -: • .� - -, --_ - ..._ - _ •. _. __ _ _ .. Phone. Fax Name: �m!'{ /J State. �A Zip: Address: (o `� N �� c95/`'C /.�� CII}: /in�� QpnI9 (� : Contractor -.s =' -_'- ---- -•; ;-__ - _ _ _ - - __ _ __ ,- - _ _-- - ____c _ _ - -` r. x _ sc_3, - _ -___ __ __- - _,___ Name: 77C /� -�-- ( t�/L // Phone' ✓�p_Ick:. Lr'y1 Fax: Address cc?2 /� ty State: eta Zip 6�,sj t /'�nt• IC'd Ci 2e/✓e / License No. -7-/ eco Q2� P 01)' Business Lie: a �a ContactlProject Manager :- _ - Name7 7 ` �-e_#A ry / .n Name/Jr� C' Phone �B 7,_7✓`^C.- —..3[c CJ 11 OF 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 atmosphenc type vacuum breakers MEDICAL GAS INCEPTORS ❑CASH ❑ CHECK ❑ VISA I] MC Cardtt SIGNATUtd�.[ EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http7/www.spokanevalley orq/ under the quick links for Forms, Master Fee Schedule. http //www spokancvalley ore/uploads/Community_Devclopment/Documents/Farms/Building/PlumbingPermitApplication040309.doc