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2014, 07-11 Permit App: BLD-2014-1642 Plumbing FixturesSpokane' .#Malley Community Development Permit Center• Spokane Valley, WA 99 ' I i 11703 E Sprague Ave, Suite B-3 Project m dill PHONE: (509) 7 05240206 RECEIVED .1 FAX: (509) 688-0037 Plumbing Permit Application ❑ Commercial ❑ Residential JUL 1 1 2014 PFiRMFr FEE: Dov HERMIT CENTER SITE ADDRESS: G /.moi//7J data. j sus Y I % I Dctr Building Owner �' ••'' Ir i! 1 Name: I Phone: Fax: Address:/� % / �. C. / / City: S �_�Y State: A. Zip: `;y C Contractor zo�•p 4 / Name: /� Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: . Name: Phone: # UNITS PLUMBING FIXTURE ON A TRAP TOILETS / 1 URINALS TUBS / I 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 Installation, Alterations, Repair, Reversals 1 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 t f 57/ 0) t Pv Including traps, vents except kitchen type grease intercept's 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:l/www.spokanevallev.orol under the quick links for Forms, Master Fee Schedule.