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2009, 08-26 Permit App: 09002706 Plumbing Fixtures
>11V:lley Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter4i spokanevalIey.og Community Development Plumbing Permit Application SITE ADDRESS: PERMIT NUMBER: 27C tf' PERMIT FEE: ❑ Commercial ® Residential Building Owner Name: g /J ✓ (f ,k „/ r' Phone: Fax: c9 Address: q �r�Q�.p� /Co[ City: . ,�5 l/o State: �� Zip?L c3/ .30� Contractor Name: TLC Construction Phone: 509-456-3687 Fax: Address: 9006 S. Hayford Rd. City: Cheney State: WA Zip: 99004 License No: TLCCO" 107M6 City Business Lic: Contact/Project Manager: Name: Terry Courchaine Phone: 509-456-3687 # 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 1 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 atmospheric type vacuum breakers MEDICAL GAS INCEPTORS ❑CASH 0 CHECK 0 VISA 0 MC Card# SIGNATURE: cam' 1' EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule. C:\Documents and Settings\User\My Documents\PlumbingPermitApplication040309.doc