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2015, 01-07 Permit App: BLD-2015-0029 Plumbing Fixtures
Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 . project — k7a-olg-00; RECEIVED JAN 0 7 2015 CSV PERMIT CENT Plumbing Permit Application 0 Commercial Resideq1218 t, SITE ADDRESS: 1 L4S( 14- 14 5 I Oft' Building Owner 407 LA k , 1 vAn Name: J Phone: Fax Address: 5/ I c:2 .e , /OH) City: State: Zip: Contractor Name: Phone: Fax Address: City: State: Zip: License No: City Business LIG: Contact/Project Manager: Name: Phone: # UNITS PLUMBING FIXTURE ON A TRAP ail- • TOILETS URINALS TUBS SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat /0 • DISHWASHER c2 -- 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 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 Signature CURRENT FEES AVAILABLE AT: http://www.snokanevallev.oro/ under the quick links for Forms, Master Fee Schedule.