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2011, 11-21 Permit App: 11003685 Drain Connect.1.000%Hey Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter:a;snokanevallev.org Community Development Plumbing Permit Application / SITE ADDRESS: 2 A( Pj^ O q y rr�j s PERMIT NUMBER: 1-34 0 ' PERMIT FEE: ❑ Commercial Vatesidential c5,/ 1` -(os' Building Owner Name: 571-44 L e , _ fJi S, Phone: 7 — 3).22 ' Z Fax: Address: GA./ ,f N l, /Orer e 5* .5 City: 5pC�, reisger State: 1-4. Zip: Contractor Name: �, G� r r ' ,4 ,, (7 A,c, VL 'f (44‘4.5, Phone: F:2 C`•• /0? Al/r — cot 0 Fax: 1' /0a `/.2 r.c a tY� State: QC/ Address: -7 / /.7 rt< s��' . p. /l ve J! Ci .s1..c+k to 400/ t4 /' I Zip: / (� i 2. License No: City Business Lic: Contact/ProjectManager: - // Name: / ++ r l" r M ///�{" Phone: (2 / g.... 3335 r # 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 0. FOUNTAIN, DRINKING Installation, Alterations, Repair_ ev re sass 5'e h WATER PIPING/DRAIN-IN WASTE 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 OCASH 0 CHECK 0 VISA 0 MC Card# SIGNATURE EXPIRES: VIN r:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\ Plumbing Permit Application 04-03-09 dg.doc