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2013, 08-26 Permit App: BLD-2013-1745 Plumbing Fixtures r \ PermitCente (IL.,J z� 13 174-C •i IIT03E 1 I ;1( Sprague Ave,Suite B-3 PERMIT NUMBER: Spokane Valley,WA 99206 ' (509)688-0036 FAX:(509)688-0037 PERMIT FEE: permItcenter(sookanevallev.orR j- CO Community Development Plumbing Permit Application Q ❑ Commercial/�jAi Residential SITE ADDRESS: Ae95 $ cg (//e/ . -. cf*ael 1 ����el/a/, !7!/z(O tfunding Bw•eer (���n L'_ '�-�r Name: LI�J /TU/►l � Phone:s `.C�T'Lt/ ( /f Fax 5iL�'��7 ACJ b . uniwasni/ 300 City. - 7 State: p9 —.S�D�� ally? te. y�i4 Zip: 7 7 2o6 Name: IA _ _ n L , •V1�1 Phoneb `a' ir I.— Fax Fax: ' - r Address. JU A• LAM{UL' T7 SE '( CitYARAstiCt rLI..L y State: i •r License No: Lt/L/4OH L 02, I Lb City Business Lic: Zip. /S Coalj kten jeet $gl ' Name: DPRLN NI C.K. Phone: S q 7 713 J PLUMBING FIXTURE ON A TRAP *OF UNITS TOILETS URINALS 3 TUBS SHOWERS , SINKS Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor.Photo,X-ray,Food, Pre•Colina Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER / FLOOR DRAIN Area Case Coil Trench Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING WATER PIPINGJORAIN-IN WASTE Installation Alterations,Re•:it Reversals WATER USING DEVICE Ice and/or Coffee maker hose bib steamer• •. PRIVATE SEWAGE DISPOSAL SYSTEM ef•carbonator swam.cooler WATER HEATER INDUSTRIAL WASTE PRETREATEMENT H Gas Sea Mechanical INCEPTORS Includ •tie•s vents exec. t kitchen t .roe interce•ors funetionin• as fixture tra•s REPAIR OR ALTERATION Wafer• .in. drain r-orr vvent•i•M ATMOSPHERIC TYPE VACUUM BREAKER • BACK FLOW PROTECTIVE DEVICE MEDICAL GAS Other than atmos• crit t •-vacuum breakers INCEPTORS OCASH 0 CHECK 0 VISA 0 MC EXPIRES: Cardi VIN: SIGNATURE: (,c - Z )l3 - i (uc P:1Cotttmunt' Cty Delopmeit2 Administio03 Forms-Official Versionsermit Center\Plumbing Permit Application 04-03-09 dg.doc