2013, 08-15 Permit App: BLD-2013-1624 Plumbing Fixturesnl
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Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
permitcenter@sookanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
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Commercial 6 Residential
SITE ADDRESS: j;.erL� 3 '1 4(1O�LEav .mss?; SrU/ J��i► // ( e0
Building Owner
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Name: Li L atilt! t LL_L_ Phone:S6'" ,CfZI 'i Z /! Fax /l Z Vi /
AddreSi U 1\1 IiNi LI OS) Ty Qty City.S6641�fj Vl� . State: yvA Zip: 99z6i6
Contractbk
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Name: V_ !�t'OV t C Phone6j ly�(/7 /,�/ _ /`'jf // Fax: 9/2.--013"—
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Addressg46 ou bi 17 � % Citya�(1cJf1VLcli'.'ltie State: KA- Zip: 57C
License No: Litif Li-1014 L 02 1 L6 City Business Lic:
Contaet%Pioject Manner:
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Name:L� t t IL Phone: —0� / I3
PLUMBING FIXTURE ON A TRAP
# OF UNITS
TOILETS
URINALS
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TUBS
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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
3
PRIVATE SEWAGE DISPOSAL. SYSTEM
WATER HEATER
INDUSTRIAL
If Gas, See Mechanical
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
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Card#
SIGNATURE:
EXPIRES:
VIN:
CSV PERrniT CENTER
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SUB # EV•
P. \Community Development \02 Administration \03 Forms - Official Versions \Permit Center \Plumbing Permit Application 04 -03 -09 dg.doc