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2014, 06-16 Permit App: BLD-2014-1390 Water HeaterCommunity Development 01^re•ft Permit Center Spokane 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 Project RECEIVED 16JL 2014 CSV PERMIT Plumbing Perm Application 0 Commercial Residential SITE ADDRESS: 1212- iv Bocu Pr, a n 7iggiir FEE: Building Owner • Name: 3j(' Phone: Fig) .... 7.3 6ci Fax: Address: 1 alz ik.) ow nn C4 r—, & City: pog..e uct 1 ystate: tit )fr. Zip: q q‘, 1.2. Contractor 5 o KG r.) e 4 ( is —pi u,v, 13 Name: 3 Phone: ci51 —co ---7 Fax: Address: 522 E City: s State: Zip: • License No: Po K A FP ic 4 0-a1-2---- City Business Lie: yoc Contact/Project Manager: Name: Phone: se I # 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 WATERSOFTNER • 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 atmospheric type vacuum breakers MEDICAL GAS _ INCEPTORS . i ........- Signature CURRENT FEES AVAILABLE AT: http:/twww.sDokanevalfev.orclI under the quick links for Forms, Master Fee Schedule.