2010, 05-03 Permit App: 10001237 Water Heater*tan` .
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Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(a)spokanevalley.ora
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial X1 Residential
SITE ADDRESS: I O 214 S 4-f era Irk_
Building Owner '• ..'.
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Name: Phone: Fax.
Elmer �qnf �! 9.26— 1(0
Address: / a i/ S L/f7Q //� 013: Kcon e , /i I Q \/state: Zip 9929
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contractor_ S pO�Yci n e ,/ I I/v lt� b1 r c; _
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_cc.� Fax
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Name. Soo 1r/' h/I (.. /r. St.
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Address SZZo N Ethel el C -- City: �'^ p,'!,1 c State: „ / Zip: qq /2
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License No: s� KH C.M92, z City BusirrYesss Lic: e C
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• Contact/Project Manager:/_
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Name:
eli,v,ec Phone: 9;26^.W10
# OF UNITS
PLUMBING FIXTURE ON A TRAP
-
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
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 atmosphenc type vacuum breakers
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://www.spokanevalley org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc •