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2011, 09-01 Permit App: 11002706 Plumbing FixturesSpokaneane - q Walley. 4 Permit Center 11703 13 Sprague Ave, Suite 13-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 rermitcenterQs •okanevalle or• Community Development Plumbing Permit Application PERMIT NUMBER: 1 _270G PERMIT FEE: n Commercial n Residential srnE.rinnxEls: II RO9 E Reedit *yule. IJJA- 777dD IBuildin'Orn j Name' reir\ C tAmmMon( or Phone: I'50C! ' %89356 Fax: Address:�r CfiC,K City: S�kAV1P State: :ll/4 Zip: 996O fCdnt ietiF:i01-1Y(^,1!„r' --�! lN� 7lii:: Name: Phone: Fax: Rtc��r, 5 ao4� �60-0,57y Address "13x3/1 U ro 7c CitY:4i/ly_I SiU Stale: rci Zip • 3G -J OC -1 _ o5 R lig 3 a3z. City Business Lic: License No: P L de. )v J Qrbntac j_ULMSnagcr: _ I fl`5Ov, Phone: a�Os .-77"J h3o7/ Name: SC J (-JT� l y l # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS i URINALS TUBS ( SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat :Q y� L( 40 DISHWASHER /1 CLOTHES WASHER I GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case Coil Trench Condensate I ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Installatio terations, Repair, Reversals . �t q 3 WATER USING DEVICE Ice and/or Coffee make d hose bib, learner proofer, carbonator, swamp cooler a 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 „�S ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers GC�'� MEDICAL GAS INCEPTORS ❑CASH 0 CHECK 0 VISA 0 MC Card# SIGNATURE: EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule http.//wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbmgPermi W pp1ication040309,doe