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2010, 02-16 Permit App: 10000418 Plumbing FixturesSpokan` e� ...;00:0Ualley Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter(alsookanevallev ore Community Development Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: 5Th n Commercial 00 Residential SITE ADDRESS: 30 q s] /11% th DCASH D CHECK F] VISA 0 MC EXPIRES: Card# VIN. SIGNATURE: CURRENT FEES AVAILABLE AT: http /lwww spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule. http://wwwspokanevalley.org/uploads/Community_Development/Documents/Fors/Budding/PlumbingPermitApplicatwn040309 doc Name Phone: Fa Amt6sc X Lie 9a - �'�� g x: Address: tate y S mAr.✓ city: StOOKAv� �in rrtsLei/970/X Zip'io Ib., •Contractor Dn rvc)tr.c a o v T ALt p Name. i9 S .� Phone: 9.t� 32 )fr Fax. ?al)?4, 56 AVC/ Gti 7 / Address: /0 N Hq.e/sfDity City: S'/1O/cJih/j Uri/kvState: L V4 Zip:9 see r License No:�0v�•7J e ^ City Business Lic: 7 sr7/J PS Contact/Project Manager: , to ''t C C ��r)&?C II .0 '_' Name: Phone 9s'? 3„41_2. 7 I # 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 .2 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 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 DCASH D CHECK F] VISA 0 MC EXPIRES: Card# VIN. SIGNATURE: CURRENT FEES AVAILABLE AT: http /lwww spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule. http://wwwspokanevalley.org/uploads/Community_Development/Documents/Fors/Budding/PlumbingPermitApplicatwn040309 doc