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2015, 04-28 Permit App: BLD-2015-0945 Plumbing# UNITS MBING FIXTURE ON A TRAP TOILETS URINALS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, SINKS I PfeD/Culinary Meat CLOTHES WASHER Community Development aL GARBAGE DISPOSAL Permit Center WATER SOFTNER SST Q n P 11703 E Sprague Ave, Suite B-3EIV 7Project E Valley Spokane Valley, WA 99206 PHONE: (509) 720-5240 FOUNTAIN, DRINKING FAX: (509) 688-0037 APR Z tf 2015 Installation, Alterations, Repair, Reversals WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler Plumbing Permit Application ❑ Commercial kI Residential CSV PERNIIPgRR�v'I�ITWER I SITE ADDRESS: l S Z�� - Q � ! 11T I SUB # REV. # u L_ ---J REPAIR OR ALTERATION Water piping, drainage or vent piping Building Owner BACK FLOW PROTECTIVE DEVICE Name: Phone: Z ,2 .:: _ O " Fax: Address:Y/1 2n� INCEPTORS City: �Cje4l tk Ifeq State: ito Zip: Contractor Name: �� Phone: Fax: Address: City: State: Zip: License No: City Business Lic: 111111116111 Contact/Project Manager: Name: / /�_ .. ,i Ll , n r, .� ..� Phone: 4—.,N (q _57-, o c�,,O # UNITS MBING FIXTURE ON A TRAP TOILETS URINALS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, SINKS I PfeD/Culinary Meat CLOTHES WASHER aL GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE a Installation, Alterations, Repair, 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 Sian ure CURRENT FEES AVAILABLE AT: http:/twww.spokanevalley.org under the quick links for Forms, Master Fee Schedule.