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2012, 07-31 Permit App: BLD-2012-1222 Piping
�j�'(J-2612- 1222 Permit Center ""'r 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: Spokane Valley,WA 99206 ,Walley' (509)688-0036 FAX:(509)688-0037 PERMIT FEE: permitcei ter'f)snokanevallev.org Community Development Plumbing Permit Application )) El Commercial ,Residential SITE ADDRESS: /13(5" //E. l' ((///e yin.,,y Building Owner Q ,(//� 979-oZ r/C Name: derv,/ . Phone: 9Z2, 7/5-3 Fax: Address: SGt 3M d City: State: Zip: Contractor AA�y t� Name: �.li, /•l r•�/E Y l�i�-c .VL 1tKy Phone: 9is�C.. CSU Fax: '72,2 - c'(C� Address: 7// - C Bloc(^ Ave J City: 5r�,k j4 ((' y State: Zip: License No: City Business Lic: Contact/Project /Manager: ,,,�, / Name: hK Y'N / ,AAAAAv,/v 1r�� ///Y' Phone: / 5._ 333 #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 l f/r'a/N Installation,Alterations,Repair,Reversals feW/lets 6101* WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer woofer,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 OCASH 0 CHECK 0 VISA 0 MC EXPIRES: Card* VIN SIGNATURE i•:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc