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2013, 10-08 Permit App: BLD-2013-2066 Drain Connect tot3 - Zokoo avos119\aev, Permit Center "I 11 • 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: /Talky- • Spokane Valley,WA 99206 (509)688-0036 FAX (509)688-0037 PERMIT FEE: pennitcenterpokanevanev.org Community Development Plumbing Permit Application D Commercial Residential SITE ADDRESS: /4- soC A"te...--/, Ave Building Owner Name: jean/tile. 4J /y Phone:egg..frC8 ROC Address: City: State: Zip: Contractor Name: A r ,Acca_V4."// ..=hcmc 2.—e: C7o2.0e) Far ro2g-',3-0/0 Address: '71/ 4vc._ City: .510, Ka State: WA ziP:99 ta License No: MRR)'7W E 87671v7 City Butmess Lie: Contact/Project Manager: Name: al" mi./7e 1, Phone: 02 I „.33S - #OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS(per trap) Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janftor,Photo,X-ray,Food, SINKS Prep/Culinary Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area,Case,Coil,Trench,Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING .96 WATER PIPING/DRAIN-IN WASTEi k, Installation,Alterations,Repairites) versal5e1ae WATER USING DEVICE 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 V Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS [(CASH 0 CHECK 0 VISA 0 MC EXPIRES: Card# gc -- ?c13- SIGNATURE: VIN: r• ' - e - .••••-• • r'013 CURRENT FEES AVAILABLE AT:htlo://www.sookanevallev.ora/under the quick finks for Forms.Master Fee Scheduie: r-