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2012, 03-14 Permit App: BLD-2012-0156 Plumbing Fixtures
r an it ��.0.1g Valley Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter)spokanevallev. org Community Development Plumbing Permit Application ME ADDRESS: 1011 S CONKLIN wwr PERMIT NUMBER: g %� PERMIT FEE: �7 (f lla cu,, Commercial Residential Building Owner Name: GREG STIRN Phone: 879-3420 Fax: Address: City: State: Zip: Contractor ell D PL r//„rni,nb (i(/ Name: azp.gi� Phone: ala„a420gt/i ('foo ---7 Address: 3309 N FOWLER City: MILLWOOD State: WA Zip: License No: City Business Lic: Contact/Project Manager: Name: GREG STIRN Phone: 879-3420 - # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS 3 URINALS 0 TUBS 2 SHOWERS (per trap) 1 SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat 4 DISHWASHER 1 CLOTHES WASHER 1 GARBAGE DISPOSAL 1 WATER SOFTNER 0 FLOOR DRAIN Area, Case, Coil, Trench, Condensate 1 ROOF DRAIN/OVERFLOW DRAINS 0 FOUNTAIN, DRINKING 0 WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals 0 WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler 3 PRIVATE SEWAGE DISPOSAL SYSTEM 0 WATER HEATER If Gas, See Mechanical "0 - INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vents except kitchen type grease interceptors functioning as fixture traps 0 REPAIR OR ALTERATION Water piping, drainage or vent piping 0 ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers 0 MEDICAL GAS 0 INCEPTORS 0 DCASH 0 CHECK 0 VISA 0 MC Card# SIGNATURE: EXPIRES: VIN: CSV j S',+ i MAR ' a --I 712 —J5:4 ;Name I — _ P:\Community Development\02 Administration103 Forms - Official Versions\Permit Center\Plumbing(RetmitAnzjlcgion 04-0309 dg.doc