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2015, 02-04 Permit App: BLD-2015-0199 Plumbing Fixtures
S o"1 ie 'fey. Community Development Permit Center 11703 E Sprague Ave, Suite 8-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 Plumbing Permit Application 0 Commercial 0 Residential Project # t 11 RECEIVED FE1 PERMIT FEE: SITE ADDRESS: CSV PERMIT CENTER Building Owner Name: M i )n Phone: -q2, ' Fax Fax: gr,q2c4 - 4.gfee Zip "n7j, Address: t) Gtr, (' City: :✓fives State: l„p Contractor l Name: /'r</,c )1 }til/9 ; Lite, Phone: J_ q -r Z7 - l(3 Fax: 5.3i_ 0 2(4 _ .`- Address: p,o 1' X /4,1120 City: krIv 4/7 , State: 4)4 Zip: --6 �J 11 License No: /two }/De. City BuT7 siness Lic: „a/4i f5, £ger: Contact/Project Manger: Name: rii#'t lytdalf/411 Phone: gX . .7/4 _ qS/,I # UNITS PLUMBING FIXTURE ON A TRAP 3 TOILETS 1 URINALS TUBS SHOWERS (per trap) f SINKS LavlBasins, Bar. Floor, Kitchen, Laundry, Utility, janitor, Photo, X-ray, Food, Prep/Cutinary Meat 3 DISHWASHER A CLOTHES WASHER 1 GARBAGE DISPOSAL f WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals J WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer proofer, carbonator. swamp cooler I PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including ttraps, 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/1�. Signature CURRENT FEES AVAILABLE AT: http:llwww.spokanevailev.orq/ under the quick links for Forms; Master Fee Schedule.