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2013, 08-26 Permit App: BLD-2013-1692 Plumbing Fixture
San pokane' keys Plumbing Permit Application Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 PERMIT NUMBER: PERMIT FEE: 4 3.6 o 2013- (o q D ❑ Commercial WResidential SITE ADDRESS: le(14.. ! 1 ger( gam` Building Owner Phone: 79 f- f/7( Fax: .-reL Name: 41/40 Address: 14-(76. w . -( / t€ (POSO City: ll..��yo /"(//f; y State: R49. Zip: Contractor 1 Name: / .e /ins 3„one: 6f.26-” "° Fax: 7 a a - 54,/0 �a>'ry pi"�. /�ccr_ �,rca-Va � Address: 7// 7 £ - /n(cc /I er Ave City: fr-%'� J*; State: Zip:P72 /a License No: IA,rc YM5 Y/ epi(' City Busifiess Lia /\P Contact/Prroject Manager: Name: p, y Aiii (fie r Phone: a /8-333r .14,v.. # 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 F WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate 4- ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE .l7 P/j.t Installation, Alterations, Repair, Reversals 54C -Wer 4- WATER USING DEVICE ,e/t4' 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 -)T.-_ T7 Signature ENT AVAILABLE AT: http:l/www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule. http://www.spokanevalley. org/&lestoragdl24/938210/948/1496/2743/Plumb_App.doc