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2013, 02-04 Permit App: BLD-2013-0172 Plumbing FixturesSpokane $fey. Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Vall • A 99206 (509)688-00C: (509)688-0037 pernitcente rift Community Development Plumbing Permit Application /ILO—Z6/3 —017?i PERMIT NUMBER: lERMIT FEE: ❑ Commercial Q t sidential SITE ADDRESS: as --/y 5-7v7 o6i✓l-,-0 ST- 5»/4gat & is / W/¢ 99a ❑CASH ❑ CHECK ❑ VISA ❑ MC Card#17/ ---777 SIGNATURE / J)- EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http.//v✓ww.spokanevaliey.orq/ under the quick links for Forms, Master Fee Schedule. httpJ/wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc Building Owner Name: J /}5i,P 5 - Nl Phone: 509. c, 57:07 Fax: ,, Address: 3rJ I4 cS• Mr-poN4-Lt9 City: So gq..r2 /alk`> State: 404 Zip: 9 epak, Contractor Name: mt cW —( wl -re C Phone: Far - 5-09.9,;28,a 4/5' u' Address: City: State: Zip: License No: PoZT•EM* 9G, loa- City Business Lic: Contact/Project Manager: Name: Phone: # 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 3 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 PRE IKEJATEMENT 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 ❑ CHECK ❑ VISA ❑ MC Card#17/ ---777 SIGNATURE / J)- EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http.//v✓ww.spokanevaliey.orq/ under the quick links for Forms, Master Fee Schedule. httpJ/wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc