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2014, 03-28 Permit App: BLD-2014-0603 Water HeaterSpokane ,#Valley Plumbing Permit Application SITE ADDRESS: 1 3)7 6 Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509)688-0037 ❑ Comm PERMIT NUMBER: PERMIT FEE: Project # '42Q(q_/rn2 Commercial rssigrEliVED �Q� MAR 7 a 9m Signature CU ENT FEES AVAILABLE AT: httr://www.snokanevallev.oro/ under the quick links for Forms, Master Fee Schedule. bttp://www.spokanevalley.org/5lestorage1124/938/210/948/1496/2743/P)umb_App.doc Building Owner I CSV PFiinAIT • ".- ._ uv r cr-t C_ Name: JDrehc n Phone: (Xi /—(O'ZLZc,Fax. G'�'h V /(k -State:'apt Address: 1 i'3 E '�i lfC'-�- city: 1 n_ 1L _ !i/.. I Contractor � L—� - _ -t� 1 F.,1icL.f��/C/inIo' r(� Phone: Cjs/,_6ge7 Fax: Names //� -7 okconc Address: 5n2.23 6-�yuvv Liz- J City: 54 6/�i4 yra State: u�- ZIP: (�%.7/,` fit, License No: R) . A J pq Z_ City Busin ssLic: > r, S' Contact/Project Manager: Name: Phone: ;S,—‘s—c)--7 J 4 UNITS FIXTURE ON A TRAP PLUMBING TOILETS URINALS TUBS SHOWERS trap) (per Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER de Area Case Coil Trench, Condensate FLOOR DRAIN ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING 1-' WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals '4 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 /] l/ Signature CU ENT FEES AVAILABLE AT: httr://www.snokanevallev.oro/ under the quick links for Forms, Master Fee Schedule. bttp://www.spokanevalley.org/5lestorage1124/938/210/948/1496/2743/P)umb_App.doc