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2015, 01-20 Permit App: BLD-2015-0090 Plumbing Fixtures
wain-sunny IJEIVISTWILIVI IL - - ---- - ._. Parnft Center 0'26(5 _13:.016) ' $oliane 11703 E Sprague Ave,Suite 5-3 Spokane Valley,WA 99206 irr:r ov:: — --------- r- : (- 1 \I Val ' PHONE: (509)720-5240 i- FAX: (509)688-0037 , il\t'i •,.. PERMIT , 1 PFEE: Plumbing Permit Application 0 Commercial 0 Residential I CSV t:---- ---..r t-J\1 SITE ADDRESS: BulkUng Owner Name:iwkeL4t#44,14.1 tira%K.(1 141,4- Phone:,-el_ /2. ,/4 s Fax 1.04-/if-diTr4 f Address:rk).1:.&.,. Kt i 0 CAIY: )614.1,fa.4. tialik State: L./A- 41: -#2 fq Contractor I Name: —_, _ t4taNitki — Phone:.-s-c.c, -qz?.- Fax 5t' . 4;2 - • &‘e'4i Address:. tic. e-Ic„ 114( .3 0 Cftr•Bu :stscr4t Cail - State: LA LP: 747214( License N°:LkiktZ14-4-14-11 q-q-t b t< cl, fty uc: Contact/Project Manager Name: -a - Phone:5114 _ ;1 - fi-cy 10(94uhok AALLA1141,A,s, #UNITS PLUMBING FIXTURE ON A TRAP L. TOILETS ,-- URINALS TUBS / SHOWERS(per nen) j 1 Lay/Basins,Bar,ROOT,Kitchen,Laundry,Uy,Janitor,Photo,X-ray,Food, SINKS PreptCufinary Meat "--/ DISHWASHER / CLOTHES WASHER / GARBAGE DISPOSAL / WATER SOFTNER FLOOR DRAIN Ares.Case.Coll.Trench,Conclerssate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING WATER PIPING/DRAIN-IN WASTE Instal/4am Alterations,Repair,Reversals I WATER USING DEVICE Ice and/or Coffee meeker.hose Na,saunter woofer,carbenator,swop cooler / PRIVATE SEWAGE DISPOSAL SYSTEM I WATER HEATER It Gas,See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS inclucrng trans.vents except keoben type tease Interceptors funcdoning as fixture traps REPAIR OR ALTERATION Water pilang.drainage or vent Piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS I Signature)...--- CURRENT FEES AVAILABLE AT:hilD.:11www.spokertsvaUsti.orW under the qtdck links for Forms,Master Fee Schedule.