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2013, 09-12 Permit App: BLD-2013-01834 RemodelPlumbinq Permit Application I-1 Commercial SITE ADDRESS: al PERMIT FEE: Building Owner i - Community Development Permit Center 11703 E Sprague Ave, Suite B-3 l6,.7 Spokane Valley, WA 99206 PHONE: (509) 720-5240 Address: FAX: (509) 688-0037 Plumbinq Permit Application I-1 Commercial SITE ADDRESS: al PERMIT FEE: Building Owner i - • <:: Name: �- T—� �—, Phone: c7a lfZ Fax: Address: City: State: L�/df— Zip: q19 Z� Contractor G�%/ % rri+ j' . ,- Name: i7�`� �7� Phone: �� __� Fax: ��— Address: / 3 City: C� State: zip:�� (lZ_ License No: City Business Lic: 2-C, L�- —fs* S'-�s Contact/Project Manager .._ .. Name: �� �r� Phone: 5 Z # UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS(per trap) % Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, SINKS Prep/Culinary Prep/CulinaryMeat 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 WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swannp 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 pipina, drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS Signature CU RENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the �cb - 2013-_ ds .k links for Forms, Master Fee Schedule. Project #, RECEIVE® SO- 12 201 (29 CSV PERMIT CENTER SUB #F-17 REV. # C�