2014, 05-01 Permit App: BLD-2014-0928 Plumbing Fixtures - Permit Center 3 �+ t ,r.;"RP(20(4--Q qts
11703 E Sprague Ave Stfite B 3 PERMIT NUMBER:
Spokane Valley,PYA 99206 t_
(509)688-0036 fAX.(509)688-0037` r {,. #
p itcenter@soicanevallev.org204
PERMIT FEE:
Community Development
Plumbing Permit Application
L Commercial j Residential
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SITE ADDRESS: 1,2 / (/�j�+^'" � / X�
Building Owner t r {{
Name: f """"""^.-^ -- -- -- p
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Addre I i t Li&UPI 300 C't'., [�.+'jtl o VA-arilState--RA
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Name' JUL ri tt Phone-AA r p /, )
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License No: s p2.4711_742) C. 2.ip �7 >r'� 'l
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Contact/Project
: Manager:
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PLUMBING FIXTURE ON A TRAP #OF UNITS
TOILETS /J
URINALS
TUBS
SHOWERS(per trap)
SINKS Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
DISHWASHER Prep/Culinary Meal `3
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area,Case,Coil,Trench,Condensate f'
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/0 RAIN-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
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT If Gas,See Mechanical
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
SACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
OCASH 0 CHECK 0 VISA 0 MC EXPIRES.
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P\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg doc