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2012, 08-22 Permit App: BLD-2012-1352 Plumbing FixturesPermit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter a spokanevalley.org Community Development Plumbing Permit Application SITE ADDRESS: k7 GA"ir�' ..J PERMIT NUMBER: PERMIT FEE: ❑ Commercial ® Residential Building Owner Name: Phone: Fax: Address: City: State: Zip: Contractor Name: LEWIS CONSTRUCTION & DEVELOPMENT, INC Phone: 509-951-6959 Fax: 509-279-0967 Address: 8225 N. DIVISION Suite A City: SPOKANE State: WA Zip: 99208 License No: LEWISCD917BN City Business Lic: 602-728-595 Contact/Project Manager: Name: Tim Lewis Phone: 509-951-6959 # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS 2 URINALS TUBS 2 SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat 3 DISHWASHER 1 CLOTHES WASHER t GARBAGE DISPOSAL 1 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 3 PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical gas 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 MASH ® CHECK ❑ VISA ❑ MC Card# SIGNATURE: EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http://www.spokanevallev_orq/ under the quick links for Forms, Master Fee Schedule. C:\Users\Tim\Desktop\ILCD\!!!Projects Active\12-045 - 1309 N Robie Lane - Spec\Permit Docs\12-045 2012.08.14 Plumbing Permit Application.doc