2013, 09-03 Permit App: BLD-2013-1749 Draine;
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�jVal ley
Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley. WA 99206
(509)688-0036 FAX: (509)688-0037
permilcrlueriI) pokanevaIIcv,org
Community Develoomen:
Plumbing Permit Application
SITE ADDRESS: -7/ A2 G ior Aar y/ttrv' Ave
PERMIT NUMBER: fr9-W t,
PERMIT FEE: i.4 3 , 00
❑ Commercial %Residential
3s) l 9403
Building Owner
Name
crit; stnifi
Address: 7I (7.2 F. FIS' V e „I re
Contractor
Phone: 3go-/Ot Fax:
City: 57.40X..; go.../int
State: lV
Zip: 992/2
Name:
b4rr' /frf r'(leir {-. VC.t V4t tq
Address: -7 // -t 6 �l lw-f e {' Ave - J
License No:
Phone: 9.:2aL . U
0
City: -s.o/c rf 14
City Business Lic:
Fax:
State:
99.,4.2 -S'o(u
Zip9YrrC
Contact/Project Manager:
Name. Larry /✓e//er
Phone: 02 / f`• s"yl,r
PLUMBING FIXTURE ON A TRAP
ft OF UNITS
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case. Coil, Trench, Condensate
ROOF DRAINIOVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
!/4 r/ Nita. Installation, Alterations, Repair. Reversals fe Wet"
PRIVATE SEWAGE DISPOSAL SYSTEM
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
If Gas, See Mechanical
REPAIR OR ALTERATION
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
OCASH D CHECK O VISA DMC
Cards
SIGNATURE
EXPIRES:
VIN
1;'1Commmtity Development\02 Admmistmtion\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg doc
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FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
!/4 r/ Nita. Installation, Alterations, Repair. Reversals fe Wet"
PRIVATE SEWAGE DISPOSAL SYSTEM
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
If Gas, See Mechanical
REPAIR OR ALTERATION
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
OCASH D CHECK O VISA DMC
Cards
SIGNATURE
EXPIRES:
VIN
1;'1Commmtity Development\02 Admmistmtion\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg doc