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2014, 04-25 Permit App: BLD-2014-0895 Plumbing Permit
`,.. i� Community Development � � Project #.42_ ( Permit Center - RECEIVED�r�+ 11703 E Sprague Ave,Suite B-3 Spol�ane Spokane Valley,WA 99206 �jValley PHONE: (509)720-5240APR 2 5 2014 FAX: (509)688-0037 C pMEIRE 1EE:C E N T E R I Plumbing Permit Application ❑ Commercial NI Residential JUti # i REV. # SITE ADDRESS: 510 kJ R 5 - '--'- 0AV Q- Building Owner Phone:' (0,0,a 35_3 j Fax: Name: JoM,v� � •�:ss�, ��`V�,I�IsL �� State\.3.4A4 Zip:�(Do7I Address: '�,0 11\5 City: Contractor ‘.n\LN2 `-- ,,,(-1......k t-e, {,n 't. 4- Name: t. 4Name: V.\ `v\\,...\L �� Phone: . p0 •D3c 5c,--Fax: Address: P� 0 s-80,14.,-80,14., k\k 5 �v�L City: c � State: Zip:0604), 5 License No: \A.\v‘k_k_ \- 0.3i C D City Business Lic: Contact/Project Manager: Name: Phone: '3(100 ,. S_3ss5— #UNITS PLUMBING FIXTURE ON A TRAP '1 TOILETS O� URINALS TUBS ) SHOWERS(per trap) - Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, COSINKS 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 J WATER HEATER If Gas,See Mechanical I 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 iSiame-- - Signature RENT FEES AVAILABLE AT:http://www.sPokanevalleV•orq/under the quick links for Forms,Master Fee Schedule.