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2013, 03-27 Permit App: BLD-2013-0521 Drain Connect
Community Development "" 13 SL I Permit Center PERMIT NUMBER: f.17Yq''A„ 11703 E Sprague Ave,Suite B-3 l ile Spokane Valley,WA 99206 PERMIT FEE: I-13 r 7X/ PHONE: (509)720-5240 FAX: (509)688-0037 Plumbing Permit Application+ /l� El Commercial Residential SITE ADDRESS: /�( ( 7/ c—/ V-e Building Owner Name: ��4 j?hC Zawsorr` Phone: 2 70 ..,25-1-1 Fax: Address: S4 yrti� City: 520,0 rG ((c/_ State: Wg Zip: Contractor Name: Irvle'" Phone: C._ 2 pv Fax: Address: 7 7/ fit, City: 5fia, ffe, State: Y/f� Zip: License No: /4 ( f/,44' 77 8i 7 City Business Lic: Contact/Project Manager: // Name: ��rt /4 p (yy��`(/ !l e r Phone: 2 (s yjLc #UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS 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 WATER SOFTNER FLOOR DRAIN Area,Case,Coil,Trench,Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING E-7 er WATER PIPING/DRAIN-IN WASTE PraikC Installation,Alterations,Repair,Reversals Ce71101f01(o/.L 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. C:\Users\hmorris\Desktop\Plumbing App.doc