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2014, 10-24 Permit App: BLD-2014-2611 Plumbing Fixtures
Project• Pern►it Center D Spokane Valley,WA 99206 a� (509)688-0036 FAX:(509)688-0037 PEI IT FPI: 2014, pc,T,lit...tedt,00kancysitc,v*g Community Development + Plumbing Permit Application E igiesidential SITE ADDRESS: SUB # L �— REV. # Balding Owner f / J f +� Name: 0 A I4 4?� q` J /f F � =�/4 — Addn v ` � City' paLgoi S Cautaactor 4/VL#01/tiLL ) Uzi/ Fax {-x)4,./) moi Addtess: /dI , !l 1 We *AO Cit: 1 State: 411 Zip: cL L 2 of License No:LN� 1 L 88/LA City Business Ltc: CeatectlProjeet Manager Name: Phone: AOFillI TS PLUMBING FIXTURE ON A TRAP TOltf TS 2- URINALS SHOWERS(per trap) t vA3asins.Bar,Floor,Kitchen.Laundry, y,Jam,Photo,X-ray,Food, SINKS Prep/Culinary Meat DISHWASHER / CLOTHES WASHER • GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Ansa,Case,Coil,Trench,Condensate J ROOF ORAINIOVERFLOW DRAINS FOUNTAIN,DRINKING WATER PIPING/DRAIN-IN WASTE Insiadalon,Alterations,Repair.Reversals / DEVICE /log aror Coffee mem;pone bib,Moamar poofe►,pebonato►,swamp cooler PRIVATE SEWAGE DISPOSAL SYSTEM •�� WATER HEATER N Gas,See MsgNniral INDUSTRIAL WASTE PREIREATEMENT •�.�+••TSL"., ! ._..._ •__ ». ....,.,.,e..�....,s- ,. `ice Daae t48 ti7TlCeOPisip a5 fixture VAC'S OR ALTERATION_ ___....Waterpipes,dreinsoe or vent piping ATMOSPHERIC TYP£VACULi _ 1 BACK FLOW PROTECTIVE DEVICE OSsse the 111"161" 1 NIFIXAL GAS INCEPTORS JCASH 0 CHECK ❑VISA 0 MC EXPIRES: Cam VBJ: SIGNATURE: Menu/minty DevelopmentD02 Administratio lO3 Forms-Official Versions\Permit CenteAPiumbing Permit Application 04-03-09 dg.doc