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2011, 03-25 Permit App: 11000697 Piping Permit Center p"'}^or''^„ 11703 E Sprague� �n p ague Ave,Suite B-3 PERMIT NUMBER: l/�iQlle Spokane Valley,WA 99206 ��alley� (509)688-0036 FAX:(509)688-0037 ` C �� PERMIT FEE: permitcenter@spokanevallev.org ` 1� Community Development Plumbing Permit Application n Commercial Rilesidential SITE ADDRESS: /2 G�� ) V6,yz,c>,/ Building Owner \57/__ _(h;dt1 /. �, Name: ��C/J _ Phone: _ I '1(7 Fax: Address: c/�J[/ y1.P„)p4-y City: State: C_2Jt4 Zip �F�1�O Contractor / Name: ,! Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: Phone: #OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS 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 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 ❑CASH El-CHECK ❑VISA ❑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 Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc