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2013, 01-31 Permit App: BLD-2013-0159 Plumbing FixturesIL F' • Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688.0036 FAX: (509)688-0037 . : permitcentorrOstinkunevilley.orn Community Development Plumbing Permit Applicationro SITE ADDRESS: As- or./ COPY PERMIT NUMBER: PERMIT FEE: y 3 c°0/,,e 0 Commercial © Residential 1� 'u - 61:,.:: .. - ;4 i:; gy.:re :..... �`:iv.::'-',:' 4<5:..,.%'P;:3".': .aY•.°�,,, i': Vi;`;..% .t'i' .i 'Unttat Q{M1'hCt'.... •a: �:Y!.•'"rA59 �::*. :)�a...NS, :' ~.-�wMhp',.d`•+f' g a,. S.eii,' `Y...ili: �:'4%''��r .4 .✓J,n:`i "dT:l Y='vey . .:r.. ;,..n.4, • .". .,:�%.�. .. .4....ti.,.....;.w+`i:..-.,.v^>?a]"?K6s;4y:•>i').:•f.:v..d... >Al:.c.. ..ex .K:•.. {%1 ..v..!....x. .... ...c n n Name: Jerome Stark~ 1341509) 926-7314 Fast: Address: 14919 E. Broad Ave., Spokane vett, WA 99216 State: Zip; '.Wn...:•vr:y:x�,.w;;::�::e.r;..<.-n.:.,:K"e'"'`i., c:;'.:.'ier.=rr..a •.- Y..: r,-.,:.. .. . Name: Precise Construction Group LLC 'n°(509) 315-9927 Far: (509) 926-0371 Address: Box 1222, Spokane Valley, WA 9967 State: zip: License No: City Business Lic: • Co t:et/Pro ectMdnagcnt"-iS•,::r r'aii.cuy„,a-� -;_c < ,. y;"•.;, ., .. ... �....�....:..t..�.•.�;.�\: . ..v�:vi.i(++Si�d..v!.a':1i�.wl.a�..;.. ^. :e,-4^ .. ��{'�=::��M1j:+ A.... 1_...v.....e: i.: x":u^i`: `1n` Name: Phono: X OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS (per Iran) 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 Arm, Case, Coil, Trench. Condensate ROOF ORAIN/OVERFLOW DRAINS FOUNTAIN. DRINKING WATER PIPING/DRAIN-IN WASTE Irciellation. Alterations Repair, Reversals WATER USING DEVICE Ice end/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical 3 INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vents except kitchen type grease interceptors functioning as fixture traps REPAIR OR ALTERATON Water piping drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAK^ -R BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS EICASH 0 CHECK ❑ VISA MC EXPIRE: CardP ` REDACTED VIN: SIGNATURE /j ace -- REDACTED This document originally contained confidential credit card information which was redacted pursuant to RCW 19.255.010 and the original document destroyed pursuant to SOS DAN GS2014-030. P::\Conununity Development \02 Administration \03 Forms - Official Versions\Pamit CenterkPIumbing Permit Application 04-03-09 dg.doc