2012, 010-15 Permit App: BLD-2012-1830 Plumbing Fixtures*Wane
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Permit Center
11703 ESprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pennitcenterisookanevallev.org
Community Development
Plumbing Permit Application
SITE ADDRESS: '78 (6 4- 6 / 5-S 4 it e
PERMIT NUMBER:
2
PERMIT FEE:
D Commercial (Residential
Building Owner
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Name: /kfe (A N/ e 4 7-z4,/,t 4 f c i','S k I- a c/ Phone: 2` 0/ 7 6 Fax:
Address: 7 s ! 0 �� 5 S Aye City: /„.,,<_.//m, r State: WA( Zip: qS) /Z
Contractor
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Name: �,iil'Y`' A 4' f /C... Ziec4..va t iKy Phone: 5P:2fr "%ol/=S0 Fax: 1..22_ cc le,
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Address: 7 / / ' t Rte- l t e H Are J City: , j/„c,/� (/a (cy, State: VV/' I Zip: / (e, (:.2.
License No: City Business Lic:
Contact/Project Manager: — _,, - _
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_ Name: �e r Jr
///^►►►YC•��tr Phone: / O �j `_ .7 335
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A OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
t avlBasins. Bar. Floor. Kitchell. Laundry. Utility, ,Janitor, Photo. X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area. Case. Cod. Trench. Condensate
ROOF DRAIN/OVERFLOW DRAINS
e
FOUNTAIN. DRINKING '
›'' WATER PIPING/DRAIN-IN WASTE
U%/Prci t N Installation. Alterations, Repair. Reversals
t`-f—
WATER USING DEVICE
Ice andlor Coffee maker. hose bib. steamer woofer. cabonator. swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas. See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Inducting traps. vents except kitchen type grease interceptors ftmctianing 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
OCASH O CHECK O VISA OMC
Carter
SIGNATURE
EXPIRES:
VAN
13:1Community Developmem\02 Administration103 Forms - Official Versions\Permit CenteAPlumbing Pemtit Application 04-03-09 dgdoc