2013, 02-21 Permit App: BLD-2013-0273 Water Heater 611,01-ZO1,—O2-73
Permit Center PERMIT NUMBER:S i 11703 E Sprague Ave,Suite B-3
J\)lldLiG Spokat►e'Valtep,WA 99206
��' (509)688-0036 FAX:(509)688-0037
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pcltttrenter@spok°nev°llev.org Co P
Community Development Commercial0 ResidentialPlumbing Permit Application
SITE ADDRESS: 5A7M-v a$-- h&eJ —Building Owner
e 09 868-4290 Fax:
Name: Jay Danserdau Phr� )
Address: 2117 N. vista Rd Spokane WA 99012
State: Zip;
Contractor •
Name: Precise Construction Group LLC Phone(509) 315-9927 F°.e: (509) 926-0371
State: Zip;
Address: Box 1222, Spokane Valley, WA 997
License No; City Business Lie:
Contact/Project Manager: Q C�
Name: Phone; Cs o q') .R ism ! Y
�� �A #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 1
WATER HEATER It Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT functioning as fixture traps
INCEPTORS Including traps,vents except kitchen type grease interceptors
REPAIR OR ALTERATION Water•i•in• draina•eorvent'1•in.
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
.TDCASH 0 CHECK ❑VISA sa MC EXPIRES REDACTED
Card# REDACTED VIN; , , i
SIGNATURE: ,0 /- This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.
P;\Community Oeveloprrrent\02 Administration 103 Forms-Official Versions\Pemut Centerlpltnnbing Permit Application 04-03-09 dg,doc