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2012, 10-01 Permit App: BLD-2012-1702 Plumbing Fixtures
ah .4/�-T ley - Permit Cemex 11703 ESprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 pennitcenter3sool anevallev,org Community Development Plumbing Permit Application L� SITE ADDRESS: // 321 F r /fly(' {" �/ We 4 v PERMIT NUMBER: 43(c1.---12 -t PERMIT FEE: 4/ 3 00� ❑ Commercial Residential z_ Building Owner AIR Zy 4 rn Name: Phone: Fax: �J / // // Address: /‘3..21. �'r' /y e clC � City: i'�P K Y�f f (�. , State: I//� Zip: gee' 7 �'1/ Contractor / �c Z' Fax: get 2 `7 Of d Name: 4Li:I"r e' (lei gik-c.lvC- 1 t ity Phone: 9.t c /, /l,0 Qc/ Address: 7 / / ' % E Ri...ite i" Ave J city:5rok (4.�r 7 State: K� Zip: / rue fa License No: City Business Lic: Contact/Project Manager: — __ _,. //er Phone: ,2 / 55. - 33? . Name: r r y At' ftOFUNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS (per trap) SINKS Lav/Basins. Bar, Floor. Kitchen. Laundry. Utffity, Janitor. Photo, X-ray, Food, Prep/Culinary Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Cod, Trench. Condensate ROOF DRAINIOVERFLOW DRAINS i FOUNTAIN. DRINKING ' `,- WATER PIPING/DRAIN-IN WASTE (/t "7/ 9 Jt. ttl Installation, Alterations. Repair. Reversals .G®h..yl e cat"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 Inducing 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 0 CHECK 0 VISA 0 MC Card# SIGNATURE EXPIRES: VIN *:\Community Dcvelopment\02 Administration103 Forms - Official Versions ermit Center\ Plumbing Permit Application 04-03-09 dg.doc