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1985, 09-27 Permit App: 0008292 Plumbing Fixtures
.;..i4TPLUMBING-PERMITINPPLreATIoNlitiolikSTE-tilY, .;PLASE PRW+ritg166 - 7 • 1..r. • Lril• IS. :):?cyrrS'OF,THE'FORM•YOU UN -ERSTAN,j4,-, . - • . . • . • ' . . . 1 Owner's Name - (Last) •' 11{/0 i - A e- ... . Project No I ' - 2 Project Address (Net Mailing Addrests),-::::.t.ttd's;r...:..- • • /0 7 6(5':,-,-4-y: OS77' - ' '. .. 3 CItyJCommuflity -; :4; State .' Subdivision/ Plat Name. 4 Assessor Parcel No. .- • 16 Contractor Firm Name:. -, .. : , RI VER6111•YT5c-PL bMBIN G• -INC:. '-'-.. :'.: J...- ,,-Jz-"•.'..-;":: Street Address N 111 Vista 'Bldg- .• : 7 , . •D .•'.. 992 12f-: :. - . • Spokane State ' -..., Wa. Phone ) 921+-8028 ' 18 .Contact Person .t.*/:. ---2- '' - .LicenseNo., .-.. -Aildre:y-1•.11ock: .- - . j PI VERCP 1 90KA • Phone it different than above - ' ' . .. . . , 8 Owner/Agent (I1,dffterent than 01 above) • t Business Address , , . , ... , . . . , - 9 Zip , . • . . City . State Phone . • ,,.. . 15 DescribeWork: New 0 ; . Addition/Alteration 0 ; Replace/Repair 6 , . . - Total Number NJ:Applicant Name ' - .. , .- ' ... Street Address -11 Zip _ City. :- t StatePhone .. . . ( ) • 9. EtteSInk(s):' Drinking FounIaln(s): Floor Drain(s): 447--- Washing M3ohlne(s): 2 10 Ceti Wshr(s): Garb Disp(s): Kit Sink(s): 2— Lndry Tray(s). Sew. Eject(s): ' ., • 11 Urinal(s): ' W1 closet(s) */,' La);(s): Y' Shower(s): 2..._.1 Tub(s): , 2_ Bidet(s)- Other: , Type; . 12 VVaste/Grease Interceptor(s). ' • . • . . , .. . . . 13 Sewer Y - - N - - Septic/Health Nc.: ... • . • 14 Electric Water Heater(s): -.2 Drains -Root.- . '-- 15 REPAIR OR ALTERATION: .. Drainage, Vent, Water Piping/Treatment: ' 2'-'1' 14 ' 4. . 16 Lawn Sprinkler Systern (s), including back/flow device on any one meter: . • • . . .., 17 . Volum breakeit'or backflow devtces in excess of line 16; 1-5: . . (0r) 5 + • ' • • . , . . , .ciertifi,,thet.thpappve information as submitted by nielstrue, and correqt:01,fid.furthei-,*agrO;p-id.ealuprpI:i?: Ilikibitordinarioel:"aoyerniria'this type of i nbl ing: risi:iebtion":rpOOirertienta W i II 6e16beiii-.!2." plied•with whether: specifiepjhereirEOrAot: The grantinglof2a;pprip,ftslo.es,not:::PrceSernp.lo'"giv,e,apthPriffy4p,',=:Y,-..., :violate orcancel-the provisions of any other state of, locaf laws ajoing*nitrOPtfort: prthe:PerferifatiOet.Pf42,', • ,12,1? • ' ,Cr'; . • '