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2013, 10-07 Permit App: BLD-2013-2060 Water Heater Community Development Permit Center PERMIT NUMBER: 11703 E Sprague Ave,Suite B-3 PERMIT FEE: Spokane Valley,WA 99206 jValley` PHONE: (509)720-5240 FAX: (509)688-0037 ;; is /(/J Plumbing Permit Application ❑ Commercial ® Residential SITE ADDRESS: I L7c9 Building Owner Name: Phone: Fax: Address: City: State: Zip: Contractor Name: Phone: ? Fax: Address: City: e-meq__ State: ZiP93g /t( License No: / /1_ 74C_5; ng cL c- City Business Lic: Contact/Project Manager: Name: Phone: #UNITS PLUMBING FIXTURE ONATRAP � (J, ' TOILETS � V URINALS 11EE'' v TUBS SHOWERS(per trap) Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, SINKS Prep/Culinary Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL F WATER SOFTNER FLOOR DRAIN Area,Case,Coil,Trench,Condensate - ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING 41-"WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals 4' 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 Signature CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule. http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Plumb App.doc