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2015, 02-12 Permit App: BLD-2015-0254 Plumbing Fixtures• un ar n� Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 Plumbing Permit Application ❑ Commercial ❑ Reeidential SITE ADDRESS: % Fi 1 2r ? / 'FRr.1! 1 FNTEH Building Owner `= !' .--, REV. V Name: i.i/0201-oll Ilc% lei': Photre i�,47`7'l x 1 � [ ( Al(c)48 y lloyiok) City:/( State: Zip:LA J Name:Phone: C1 Fax: (3";. � i-���i�� �>r�h roc Phone: �•1�-J`�3� VI_ 1.167rJS Address:Ci State: Zi R) tr)jc 1�1� b� 1(c'�h� (941/e? State: q5 Z -lc/ License No: /i h(Qe ipim i}iej 71 a- City BGsiness Lic: / 6ci Contact/Project Manager: Name: tJ'?v /✓1��u t%?/n Phone:. 41(1 'ilii i # UNITS PLUMBING FIXTURE ON A TRAP 4513 TOILETS 3 URINALS TUBS 3 SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat 5 DISHWASHER 1 CLOTHES WASHER 1 GARBAGE DISPOSAL i 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 1 PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical 1 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 7) CURRENT FEES AVAILABLE AT: http://www.spokanevallev.org/ under the quick links for Forms, Master Fee Schedule.