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2013, 02-13 Permit App: BLD-2013-0234 Piping Permit Cotter W 7413 —02.3 Y '^`r 11703 ESprague Ave,Suite B-3 FERMI?NUMBER: Spokane Valley,WA 99206 - (509)688-0036 FAX:(509)688-0037 PERMIT FEE: if 3 00 pemtitcente4)saokane allev.org Community Develoomen: Plumbing Permit Application 0 Commercial Residential /r ' SITE ADDRESS: /oQ 3 /Fe e s /Kg Building Owner Name: Jo.cc,X , t 1 4 Phone:� C e) 3'16' Fax: Address:/2 O 3 l v • }Feee S City: Sp 1/ ff,y State: T(ch Zip:79021/ Contract r / Name: 41zkr Ala' 1"fl Xs: Cv4tPfty Phone: l.7aZ�'a /0 Fax: q -cc c, per/j Address: '7/l - c /!i�[t - Ave J City:�� /� (��r e State: Zip: / (*+C 62. License No: City Business Lic: Contact/Project Manager: Name: Liz r r //er Phone: / `'- 333.E #OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS(perp) Lav/Basins,Bar,Floor.Kitchen.Laundry.Why,Janitor,Photo.X-ray,Food, SINKS Prep/Guinan/Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAW Area.Case,Cod,Trench.Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING /� �+, WATER PIPING/DRAIN-IN WASTE I/4 P'ILt 1 N� Installation.Alterations,Repair RReversatsst /Se we-r WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer`asrbonator/ ,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 ❑CHECK 0 VISA 0 MC EXPIRES: Card# VIN SIGNATURE r':\Community Development02 Administration\03 Forms-Official VersionssPcrmit Center?Plumbing Permit Application 04-03-09 dg.doc