2012, 03-02 Permit App: BLD-2012-0088 Water PipingSpokane
��Valley.
Community Development
Plumbing Permit Application L
SITE ADDRESS: 7001- /K C�/L reY
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
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PERMIT NUMBER: ,3 tet -r z-88
PERMIT FEE:
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❑ Commercial esidential
Building Owner
Name. p4 i1 _.5-57.,.i
/rn f 14, Phone: t7 ( ¢44^0 Fax:
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Address City: City: Slate: Zip:
Contractor
Name: p V . f " Phone: Fax:
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Address -7 / ( t /,iia (1 e {^ /q ve City: s`„c,k /4 /lC't , State W� Zip' / i.>Z
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License No: City Business Lic. J
Contact/Project Manager: - _- -_�.
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Name. �-�e r N y I ///tr Phone: 02 / fF.- 3y3_5—
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# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per Trap)
SINKS
Lav/Basins, Sar, Floor. Kitchen, Laundry, Utility. Janitor, Photo. X-ray, Food.
PreplCulnary Meat
DISHWASHER
-
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR GRAIN
Area. Case. Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
i
FOUNTAIN. DRINKING
—r WATER PIPING/ORAIN-IN WASTE
Installation, Alterations, Repair6versal\ 5421X./41 v-
/
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 D CHECK D VISA DMC
Card#
SIGNATURE
EXPIRES
VIN
RE t-
>yopSPor:,.._-/ven gY
MARa SNE VALLEY
2012
By, rEHMi7 L
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