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2014, 07-07 Permit App: BLD-2014-1582 Plumbing Fixtures/e, jMil1ey. Community Development Permit Center �YO)@Ct 11703 E Sprague Ave, Suite B-�, Spokane Valley, WA 99266 i PHONE: (509) 720-5240 FAX: (509) 688-0037 Plumbing Permit Application ❑ Commercial El Residential SITE ADDRESS: IIQOG t. R;✓carr&? Pr. RECEIVED JUL 0 7 2014 (ir- PERMIT FEE: \I PFRMIT r6NTEr f3EV. Building Owner ( I Name: %-tor'! ean3'l(vcrivn Phone: ?og.g30. ,N17 Fax: Address: if u) oe acc4c in City: ter j,di,,,,,_ State: 3-p Zip: yf39,41 Contractor Name: M6cf coniwrc4;‘,n Phone: .20 - /3C1' K697 Fax: Address:nil, BaftrlJL 4. City: chum g,AIcA,. State. j Zip: 939ry License No: City Business Lic: Contact/Project Manager: Name Jrn,ny Viiet Phone: a0�, 4 . 60i3 # UNITS PLUMBING FIXTURE ON A TRAP TOILETS 3 URINALS O TUBS I SHOWERS (per trap) tf ' SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat DISHWASHER 1 CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals ' 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.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.