2010, 01-29 Permit App: 10000234 Plumbing FixturesSo`kaneG
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Permit Center:
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
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PERMIT NUMBER: /0,-Qacy/
PERMIT FEE:
Community Development
Plumbing Permit Application ,� n/ Commercial esidential
SITE ADDRESS: / 3 7 ��r f� 7 /t� S.$ ��y �pe, j
Building Onner
Name: (/ Z _ ►06 Phone: Fax:
Address: / 3c 29 .e, '/,..)5-5,..7 City: D1G/ --tl _ State: 64.4,_ , Zip: /5.2,/,.6
Contractor
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Name: / Phone: ZOD ` 7%,3 ' 3G06, Fax: ZD8' 773— 366 Z
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Address: Po, Rex 3 z 7 City: /7662/_, Ath
f ,LAth State: Zip: Q? p 77
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License No: 774e/re- v p U 33 8z City Business Lie:
Contact/Project 1\ tanager:
Name: /eGK /l yz/G/4r r Phone: 208 - 6.6 O - 8'766
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# 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
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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
Water piping. drainage or vent piping
REPAIR OR ALTERATION
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
DCASH 0 CHECK 0 VISA 0 MC
Carc
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://vmv.spokanevalley,orol under the quick links for Forms, Master Fee Schedule.