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2015, 08-06 Permit App: BLD-2015-1885 ResidenceSpo°Fkari' ems` 'g;00*w1[ey. Permit SITE ADDRESS: S Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 !cation ❑ Commercial 0 Residential PERMIT FEE: Building OwnerZouj',S� Name: L C Ise go h esa., Phone:Jt, bq G ..27 Fax: Address: 70r City: S o e E. State: L -_ Zip: `1 9 Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: Phone: # UNITS PLUMBING FIXTURE ON ATRAP TOILETS URINALS TUBS SHOWERS(per trap)_ SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Prep/CulinaryMeat 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 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 CURRENT FEES AVAILABLE AT: htto:/twww.sookanevalley.org/ under the quick links for Forms, Master Fee Schedule.