2013, 10-25 Permit App: BLD-2013-2214 Water Heater2 ( Permit Center
a 11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.sookanevailev.ora.com
PIumbing Permit Application
Valley
COPY
❑ Commercial
SITE ADDRESS % y 6 C3 , s/e e
rpA, ddres�s: Y G �� fe, VCft S/8 t,
Name: OLD SEAL MECHANICAL, Inc.
Address: 5524 E. BOONE
E
License Nor GOLDSM*
Phone:
(509)535-5944 Fax: (509)535-9359
ci SPOKANE VALL$ate WA z, 90r.r.
BATH, STALL. ON-SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, F000, PREP/CULINARY MEAT
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
ELECTRIC HOTWATER TANK
FLOOR DRAINS
ROOF DRAINS/OVERFLOW
DRAINS -
NOTE: IF GAS. SEE MECHANICAL
AREA. CASE. COIL, TRENCH, CONDENSATE
FOUNTAINS. DRINKING
WATER PIPINGIDRAIN-IN WASTE.
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
WATER USING DEVICE
CROSS CONNECTION DEVICE
INTERCEPTORS
MEDICAL GAS (peroutlet)
MISCELLANEOUS PLUMBING
FIXTURE
PRIVATE SEWAGE DISPOSAUSYS
INDUSTRIAL WASTE
22 INTERCEPTOR
METHOD OF PAYMENT:
❑ CASH
Bank Card
❑ CHECK
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
•
GRINDE- SUMP PUMP
ICE AN/OR COFFEE MAKER. HOSE 818.
STEAMER
PROOFER CARBONATOR. SWAMP COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
NITROUS. OXYGEN
$6.00
X
$20.00
X 515.00
SUBTOTAL
ljr VISA 0 MASTERCARD
REDACTED
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AUTHORIZED SIGNATURE: z.-- (
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This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.
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ABASED 8r26,05
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