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2016, 03-03 Permit App: BLD-2016-0673 Plumbing Fixtures Community Development ^�r7 3 Permit Center Project #1 St"�T�kane 11703 E Sprague Ave,Suite B-3 Y Spokane Valley,WA 99206 RECEIVED - Valley. PHONE: (509)720-5240 FAX: (509)688-0037 MAR n 3 2016 Plumbing Permit Application ❑ Commercial XResidential CSV PER rma l,Tf Ef SITE ADDRESS: _. r-_ rr Arrl,,wwO'1 r* ne Building Owner Name: Phone/:�� _ c� / ax: y Address: ,) '�/''� City: L,5 '`A' 'sState: a/fl Zip: g940.27 Contractor Fax: ,�c� Name: - «'� 0' ' t Phone: _'.53 `44,7S. 3.4' . ••c/S�°`�3 /�4' Address: o.` ..:ra. Ivtrto ,PG�('` dd` y' ► e, State: L,,C.I A. Zip: Q License No: 7744 ;o City Business Lic: Contact/Project Manager: Name: /, 4' �i1. (7 g Phone: t<�'/ _ _. 3' / /�s�e �� #UNITS PLUMBING FIXTURE ON A TRAP �y TOILETS J/' 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 521 K' WATER SOFTNER FLOOR DRAIN Area,Case,Coil,Trench,Condensate (0 ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING I 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 / a14u CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orcI/under the quick links for Forms,Master Fee Schedule.