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2013, 06-27 Permit App: BLD-2013-1244 Plumbing Fixturesun rr Qom;; Val ley Project # -0.'%s r;. / r- rib Permit Center 11703 E Sprague Ave. Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 perm i teenier u)spokaneva l ley. urn Community Developmen: Plumbing Permit Application SITE ADDRESS: 7q,' - /1.4401_ PERMITNUMBER: PERMIT FEE: U Commercial Allesidential Building Owner t Name1-'e /, 8CZ / /7 Phone: 9 71►_ 3 Fax: City: .5„,e,[%/4 (6. y State: �� Zip: 01;V(..; Address: $a 4:,.„. L Contractor Name: / 4L i, r 7 /vi (/ 4.-A- 1(17 Phone: ,,,z c,./ 00 Fax: e es € Address: 7 / / -7 r~ R".. f t= j- Ave City: Si,, k OL 1(er State: VV/' I Zip 4,7 7,,,e (),._ License No: City Business Lic: Contact/Project/Manager: Name: G£ r' l" / t /' 7/iY' Phone: / 57 ' -5 3�3, 3- / -� y # 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 i FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE /�_+ fJ ��t� I/rAtt/ Installation, Alterations, Repa. , Reversals)5' tt/ WATER USING DEVICE Ice and/or Coffee maker. hose bib, steamer proofe , arbonator, 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 EXPIRES: VIN r:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc