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2010, 05-07 Permit App: 10001295 Plumbing ReversalPermit Center S�'ol�anescole\s11703 E Sprague Ave, Suite B-3 P Spokane Valley, WA 99206 ,;;0000ley (509)688-0036 FAX: (509)688-0037 permitcenter(o,spokaneval lev.ore Community Development Plumbing Permit Application PERMIT NUMBER: 79 v PERMIT FEE: n Commercial Residential SITE ADDRESS: RuildingOr4ner <-- ...i '. '. -'• - ....- . ,. .. .. -. ,.. .: ..: .:. Name: Phone: Fax: Address: City: Stale: Zip: Contractor Name: Pro-ressionntI f>,�Ol r7o Phone: ten9.6?_,3 yc/ Fax: ,? Address: 6c,-0 City: ,jp/< (Age State: 64„..4 Zip: `j 9 of 7..... 0 q/ , v.) License No: City Business Lic: �v�eP,`5�.1 e� 6001Sol o contact/Project manager: -.:••,•:!,.•,:r.. 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 WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE i Installation, Alterations, Repat 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 0 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://www.spokanevalley.org/uploads/Community DevelopmenVDocumcnis/Fonns/Bu ild ing/PI umbingPerm itAppl ication040309. clot