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2013, 10-18 Permit App: BLD-2013-2153 Water Heater
Community Development — _ Permit Center PERMIT NUMBER: 11703 E Sprague Ave,Suite B-3 *tame Spokane Valley,WA 99206 PERMIT FEE: Valley* PHONE: (509)720-5240 FAX: (509)688-0037 Plumbing Permit Application 0 Commercial ':, Residential SITE ADDRESS: t_3/ Building Owner , Pa.& Name: ,fie Phone: Fax:' Address: City: State: Zip: 24 Contractor '4 4 2.r-- -`�j Name: �l�.c.r O Phone: 2 —/?3 82 Fax: Address: City: J State: Zipg_�/ h�7�V t`� w�pkv �� CityBusiness Li License No: I�PA4%S r r�4/ Contact/Project Manager: Name: Phone: #UNITS PLUMBING FIXTURE ON A TRAP _ TOILETS URINALS TUBS SHOWERS(per trap) Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, SINKS Prep/Culinary Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL 46-WATER SOFTNER FLOOR DRAIN Area,Case,Coil,Trench,Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING 44—WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals 4" 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 P 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.spokanevallev.ora/under the quick links for Forms,Master Fee Schedule. http://www.spokanevalley.org/filesforage/124/938/210/948/1496/2743/Plumb App.doc