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2014, 10-10 Permit App: BLD-2014-2484 Plumbing FixturesCommunity Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 -Plumbing Permit Application 0 Commercial- 0 Residential Project # tCP-Zo(c(— RECEIVED SITE ADDRESS: I gozz L'. Gr4cc, CSV PERMIT CENTER Building=Owner«";'T'�a" :'",x,s4;:-s=�;`-+:-s a -- ‘JUO---L ="1°-_'�c.--__—__ „ Phone: 9.41_ ern_ 460'] Fax: Name: t1quiU(0f,1 to ltrxt$ Address: 246'13-w. 9lgtttr PL. 5 u ilt44 he City: RecfT.tolne/ State: v K zip: 9-275.6 a.#�•-=nw.,ti; _s�ic f[:" -'.:>::vii:-+—_ •.._,'9 ei: "ii i'.=`._7-.=.."�e5w�3T' S_.."t_""�,a.::_,y-=.-.._,_ _._ ....�_,.�..__; ." - Name: Phone._.. Fax: ,Tc ;pit L Phi r%$-691-(273 Address: P.6. hoz Nis , City: Nei denki • State: La, - zip: nor License No: OZ($%C17i_ City Business Lic: - Ci '=Contact/ProjectiManager:gi}?; _rrcFx. ..':1�.,:.!��i:�Stl` Name: L „J d4L nn6urq Phone: a0' 6._ G 9 /- 6z.ri i # UNITS PLUMBING FIXTURE ON A TRAP TOILETS 2.. URINALS TUBS 1 SHOWERS (per trap)k SINKSPrep/Culinary Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, FoodLi Meat DISHWASHER ) ( CLOTHES WASHER I GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN - Area, Case, Coil, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING - WATER PIPING/DRAIN-IN WASTE - Installation Alterations Repairr-Reversals 1 WATER USING DEVICE Ice and/or Coffee maker, hose bib. steamer proofer, carbonator, swamp coder 3 -PRIVATE SEWAGE DISPOSAL SYSTEM - --- �- --- - - -- --- -- WATER HEATER ----� ' -' ---'- -' ' If Gas, See MechanicalINDUSTRIAL 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 Signature CURRENT FEES AVAILABLE AT: http://www.spokanevallev.oref under the quick links for Forms, Master Fee Schedule.