2012, 04-12 Permit App: BLD-2012-0340 Plumbing Fixtures�i1slLle � 11903 E Sprague Ave, Suite B-3 PERMITNUMBER: C - z-5 U
11m- Spokmle Vellry, WA 99206
/l�r' (509)688-0036 FAX: (509)688-0039 PERMIT FEE: tj
•penruicticerr spoknnvMlev.org
Community IXvelopment
SITE ADDRESS:
NJ.a (o, i,— I-
] Commercial Kj Residential
((e 51 U'p
Building Cy ner
Name: 3 q E- -y ✓ M e r S' S
Phone: F.
Address:
Z/2)6 N (7J W
City VOrnutie Y &tate: I,l/Fl
Zip:
Cookacmr EL j T1_
Name: 5/- 12 ell 57FrJ(e
Phone: Gj" -321 F.
Address: Jr 2 2
City: r' `' t Smte: (�
Zip:
License No: L 1, ? - . fir, gv8 k
City Business Lic:
contaeUProieet Manager: �q V L
`19 9 - 58 92 -
Name:
Phone:
N OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS rtm
Lav/Basins, Bar, Fluu, Kitchen, laundry, Utility, Janitor, Photo, X-ray, Food,
SINKS Prep(Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
DRAIN
Area Case Coil Trench Condensate
DRAIN/OVERFLOW DRAINS
AIN, DRINKING
R PIPING/DRAIN-IN WASTE
Installation Alterations Repair. Reversals
R USING DEVICE I[eanif
N
Coffee maker, hose bib, steamer mote- c-Nonatoq swam wwler
EWAGE DISPOSAL SYSTEMATER
If Gas, See Mechanical
L WASTE PRETRFATEMENTS
ALTERATION
Water piping.drain er"vent ' 31el (G: H i
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTNE DEICE
Other than atmoshenc type vacuumbreakem
MEDICAL CAS
INCEPTORS
WASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# NN:
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SIGNATURE:��
CURRENT FEES AVAILABLE AT: hffo://www.sookanevallev.om/ under the quick links for Forms, Master Fee Schedule.
http://w ,spokmevalley.org/uploads/Community_Development/BocumenWForms/Building/PlumbingPermiWpplication040309,doe