2013, 04-01 Permit App: BLD-2013-0544 Plumbing Fixturesof
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Plumbing Permit
SITE ADDRESS: s
Community ftlopm
Permit Cente
11703 E Sprague Ave,
Spokane Valley, WA S
PHONE: (509) 720-52,
FAX: (509) 688-0037
)lication ā Commercial
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CSV P i= (;' i I T CENTER PERMIT FEE:
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Building Owner
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Name:
Phone: S ā7750 Fax:
Address ā '
City: State:
Zip: y5' z/8
Contractor , '
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Name:
Address:City:
Phone: 9954L-7 30 Fax:
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Zip:
License No: Rt k) t RJN
zā City Business Lic:
Contact/Project Manager:
Name:
Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2
URINALS
TUBS
SHOWERS(per trap)(
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
prep/Culinary Meat
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DISHWASHER
I
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, rations, Repair, Reversals
WATER USING DEVICE
loe nd/or Coffee maker, ose bib teamer 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: htta://www.saokanevallev.orp/ under the quick links for Forms, Master Fee Schedule.