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2014, 06-30 Permit App: BLD-2014-1531 Plumbing Fixturesarr SPlian 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 Applicationp❑ Commercial ['Residential SITE ADDRESS: IC A, 1 i.siJ4. Project # RECEIVED JUN 3PERMIT FEE: Gov NtNMIT CENTER su # Building Owner Jerry -6 roi4i{C 5kAie Vg' k_ -- / Name: / Phone: ti©cl _ /26_ Z 511 Fax: Address: 1( Nis . ,1,,v44,''L City: 51,001<timQ. V,..1/. State: wA Zip: q 7 Z04, Contractor gosv+k it,.C. Name: ,,,tif f6 r•o K AftuPhone: Fax: 5��� y��t-o�4'7 �y Address:5INJ �� City: S - I�ye, State: �/ Zip: vexLicense No: alb U'1 1171K iCity Budine s Lic: d SO/ _ 61/7^ Contact/Project Manager: ' 1 L ot ' Of 05v; Name: Phone: 50q_ i Jqq . 0567 # UNITS PLUMBING FIXTURE ON A TRAP TOILETS a URINALS TUBS I SHOWERS (per trap) 1 SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat a J DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate I ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals f 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 it 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 Signature � J CURRENT FEES AVAILABLE AT: htto://www.saokanevallev.oro/ under the quick links for Forms, Master Fee Schedule.