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2015, 06-01 Permit App: BLD-2015-1271 Plumbing FixturesSffolone Project ficri 1 F ECE1VED Community Developm� Permit Center 11703 E Sprague Ave, Sulte B-3 Spokane Valley, WA 99206 PHONE: (509) 720.5240 FAX: (509) 688-0037 JUN 012015 020 15 ?lambing rWwiA App CSV °ERMIT CENTER l prrRMITFEE: Plumbing Permit Application ❑ Commercial 0 Residential _ SITE ADDRESS: �� cs„ Building Ownertun Qj ©r t -x Vny-\ck---\fYe, Name: Phone: Fax: Address: City: State: Zip: Contractor 0 Name: -' .,4`eA.S���"""/// Phone:Fax: �n (�C� Address: 2:2,S-1, 5 .45...4--,1/4--t CRY: '': los' State:1Uva ZIP: qi iCe License No: " tCN,f._P j7 L 92A c_ Jo City Business Lic: Contact/Project Manager: I Name: Phone: # UNITS PLUMBING FIXTURE ON A TRAP TOILETS . ll\\ a ea l% )1 :faro URINALS C'7 — TUBS 1 1 /^'� (7 -1 -'Ra_ SHOWERS (per irap) 1 TO ( L D la -UD= Co SINKS Lav/Basins, Bar, Floor. Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat is (o OC) ~ .Cb DISHWASHER 1 / 1 CD (a.crr to DD CLOTHES WASHER L 1 G.on; /(c•c,- GARBAGE DISPOSAL 1 t (O.11i' L Ct $ WATER SOFTNER FLOOR DRAIN Area, Case, Coll, 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 proctor,carbonator, swamp cod<J er //�` ry 3 ) LDC(.( - elk 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 i 1 OD 6,6'OC MEDICAL GAS INCEPTORS Signature L$ l lrCk�ip�. �0 CURRENT FEES AVAILABLE AT: http:llwww.spokanevalley.oral under the quick links for Forms, Master Fee cheduS le.