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2010, 12-22 Permit App: 10004126 Plumbing FixturesSpokan ��ValleyM rermu Lcurci 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenteraspokanevallev. org Community Development Plumbing Permit Application SITE ADDRESS: PERMIT NUMBER: L Commercial LI Residential If& S - %3 A, Building Owner Name: SfeleiIA 1-^ r") Phone: Er ‘,3 —,ZG —-- Fax: 12 7 — /.70 Address: 3)0 S - S, ao,,,, /.ol City: S/0-{4� r 0 V, /i(.7 State: t✓,,r- Zip: %e`/c.i 7 Contractor / /� Name: /h ,ren ,, , t �.rt c s is „,w/ t _ Phone: y c/ rti — 2 -7 �cl Fax: q 2 7 -110 / /City: Sinn State: Gt/9 Zip: �F�'3 Address: Po be u 2_ K License No: �''1 < �4, H i 7 06 6 City Business tic: Contact/Project Manager: Name: S 4P A .,t r / / Phone: -j .-2G -7 S' _ # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS I URINALS TUBS t,..f SHOWERS (per trap) IN, l SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat DISHWASHER ,i,' CLOTHES WASHER 1- 1 GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate '1, ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals ---s ' 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 IN 1 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 ❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule. http://www.spokanevalley. org/uploads/Community_DevelopmenUDocuments/Forms/Building/Plumb ingPermitAppl ication040309.doc