2015, 03-04 Permit App: BLD-2015-0392 Plumbing FixturesUJ/ U'4/ LLJiJ
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1+� 11703E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
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Community Development
Plumbing Permit Application 0
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SITE ADDRESS: .I r AAD/ ./
CSV PLF-311�11 NTrA
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Building Owner
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Name;Phone: Fax: Al
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Address:792lS
City: liuii state: LAI Zip:
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Name: aimett %.I. Phone: 6--1)11.) Fax: ('7g^690I
Address: II 01 F =r vituv 4 City: 6 v State: Zip: qq
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Licenso Na: qs(1 City Business Lic:
Contac.UPrd jeetManager:
Name: / Phone; `g? 41(8
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
1
URINALS
TUBS
I
SHOWERS_Iper trap)
. SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray. Food,
I Prep/Culinary Meat
DISHWASHER
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, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanic!
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease Interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water Elping, drainage or vent piplr�
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
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CURRENT FEES AVAILABLE AT:htttp://www.spokanevaIleY,orq/ under the quick links for Forms, Mester Fee Schedule.
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