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2011, 06-03 Permit App: 11001591 Plumbing Fixturesl 141 .000Valley Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenterriespokanevallev.orq Community Development Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: n Commercial Residential SITE ADDRESS: c2 /V Prktrk Building Owner Name: f pt f S Step, -4Q - Phone: Fax: �� - 83�-r/ 1 ,/ ,o fj /� Address: /�d2 t9 ,t/' ea y' !`. /\ o` City: ��DA—a hN 4 r State: /"1 Zip: 99� ' F (,l.. Contractor /% Name: /6ihNy A(r//Q'i" �r-X-C'w�%RT ii" f Phone: 7 / c' Fax: (0202' 50%0 Address/_ / f er Ave ( City: `j�pp4cv„�e�i/�!/ State: K7/ Zip: f9. ,s! (2 /yfLC License No. 44 r `j�( S O ( City Business Lic. /-� ©� — j?ep 2 — 4 7/ �r ll ' ` 7 `` �B / Contact/Project Manager: Name: zQ fr.i• er i// i•/(e r Phone: 2 18' '"' 3 73 5.- ` # 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 ROOF DRAIN/OVERFLOW DRAINS i FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE c Installation, Alterations, Repair eversals 71' JE'v'N r / 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 ❑CASH 0 CHECK 0 VISA 0 MC Card# SIGNATURE: EXPIRES: VIN: P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.do;