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2015, 02-04 Permit App: BLD-2015-0202 Plumbing Fixtures
Spokane lley 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 ❑ Residential Project .:ice.-�0� S -O .o2 RECEIVE FEB ii3tR.IZCAII:14 FEE: SITE ADDRESS: (Ro(.5 6 ,Oy,1 A1,6 CSV PERMIT CENTER Building Owner v " L1 r 1 J Name: 4, i-Milvt ,f.' 1& tYCPhone: C Fax: /� tai- �Z� �L12✓�'�� r 2�(lc;fG� �,/? 1 Zip 7 j Address: t�C7• taDX l f (.2D City: n State: /aA Contractor Name: Phone: Fax: ^. % 11� � Lr. Vii- �' Z�� - f�13 � �r L' a.! - Ai/S5709 Address: ? City: r�.7� State: Zi 3�G. tUX / 1/� C✓1// LJA p: Zl�% § License No: �/ J tin }1 City Butiness Lic: r-/ ;1 PAS) snagYr ContactlProject Manager: Name: atm j,wikii.gpi Phone: sgX _ -W/4._ qi5 /I # UNITS PLUMBING FIXTURE ON A TRAP IA TOILETS URINALS TUBS Z SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat �� '5 DISHWASHER i CLOTHES WASHER % GARBAGE DISPOSAL l WATER SOFTNER FLOOR DRAIN 41# 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 / PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Indudin9 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 n Ignature',/ CURRENT FEES AVAILABLE AT: http:/lwww.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.