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2011, 02-09 Permit App: 11000321 DisposalSpokan cocsO Valley. Permit Center 11703 E Sprague Ave, Suite 13-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 pennitcenterQspokaneval Iey.org Community Development Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: t43-- Commercial 3` Commercial Residential SITE ADDRESS: /30Ce 67 nn -A-/ Building Owner .. -•••- Name:Phone: Fax: C-0 Spe.ic,ht©k5'7c,a Address: Cil State: Zi l 1vAroQ F i3is.ti.e_ yS�xk.4.�..: a/Coy /AJA, p992ic Contractor. S2l C' .. .' .. .. / Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Projcct Manager: - - - - .. .. Name: Phone: # OF 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 r 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 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 ❑CASH ❑ CHECK ❑ VISA ❑ MC Card# SIGNATURE: EXPIRES: VIN: CURRENT FEES AVAILABLE AT- http-//www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule. http:/hvwwspokanevalley.org/uplaads/Community_Development/Documents/Forms/Bu ilding/PlumbingPerm itAppl ication040309. doe