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2015, 02-27 Permit App: BLD-2015-0351 Plumbing Fixtures
Community Development �t 'r,, Permit Center ti joikane 11703 E Sprague Ave,Suite B-3 �' Spokane Valley,WA 99206 alleym PHONE: (509)720-5240 FAX: (509)E83-0037 PERMIT FEE: Plumbing Permit Application 0 Commercial Residential SITE ADDRESS: \\1 1-1 (:- - C t.-\ c'\,=-<(--k . Building Owner Name: t_c S CLL>c Itc,.`f\ Phone: 63 _ C.c c"-Fax: Address: `Uv:_ L{, A(4 ke",,, 1k¢v k`„L(City: 5( v,Lcc✓rte State: u/- Zip: `CGT 2C)C Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lie: Contact/Project Manager: Name: lc,;c \\ C,*, vS k- v\ Phone: (. - ce? vc,ces----- I #UNITS PLUMBING FIXTURE ON A TRAP 1 •TOILETS URINALS TUBS Q SHOWERS(per trap) Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, SINKS Prep/Culinary Meat 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,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 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 d-421-21-' 2-Z7 - /%.---- CURRENT FEES AVAILABLE AT:http:/lwww.spokanevallev.orcl/under the quick links fo Fowls Master Fee Schedule. Yrblecf # f - - dors - 3.5-1 RECEIVED it; FEB 2 7 2015 CSV PERMIT CENTER SUB # . 1 REV # I