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2013, 10-31 Permit App: BLD-2013-2254 Plumbing Fixtures
Permit Centel 11703E Sprague Ave, Suite B-3 Spokane Valley, WA 9 i C t" (509)688-0036 FAX: (5p9)688-0037 permitcenterigspolcanevallev.org Commtmity Development Plumbing Permit Application SITE ADDRESS: rO / - Q. r '-I {E L. PE'RMI NUMBER: PERMIT FEE: Commercial EffResidential gr/rLF RcNTFC r r u Building Owner '. Name: fra-h. O%`' .: 3 0,0 j�.. Fax. j�Q Y LrS J Address: ks-s- e City: , foo /41/ Static: lf% ' f.V.? Contractor p /� Name: A r r y ;77e, M,kk(g".CQ 1 blt ►' 1 a la "jo'2.©F) F roy2t-',170/® q Address: '7// 7 E. a Xt.< v- .6 ye ✓' Com' s / c' / State: i,�/� Zip: I et a la. s License No: MR R / M E ,� 70 / Y 7" City Bu Lie: Contact/Project Manager: ' / ?W Name: 4 a r k v fr(7410 Phone: 2 f 8- 333s- # OF UMTS # PLUMBING FIXTURE ON A TRAP TOILETS URINALS ' TUBS SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, UMTity, JanitorPhoto, 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 /f ,4 4 64,0147/4• installation,, Repay t vsversaj) fe Wei" WATER USING DEVICE ice andlor 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 kltdhen 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 ❑ CHECK ❑ VISA ❑ MC Card# SIGNATURE: EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orri/ under the quick links for Forms, Master Fee Schedule.