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2014, 04-21 Permit App: BLD-2014-0845 Plumbing Fixtures p Permit Center ' t y ! ( O ._. 3i' ` "_"' �"� 11703 E Sprague Ave,Suiie$-3 Spokane Valley,WA 99206 ` r r " PERI\dIT NUMBER: �0Valley (509)688-0036 FAX:(509)688-0037 pertnitcenter@sookanevallev.org ERMIT FEE: Community Development Plumbing Permit Application Commercial Residential- SITE ADDRESS: e ge /+,W Building'Owner • Name: f A 1 L rT Uf►i l_� LLL. Phone: 'C/ 7 `l G'i l /22� (J/ / j� �/ �I ,/I`nr .�,/ T- 300 l �/p /Ire Fax: p �`, Addre s�b N. 4M '1 IL 71 NC Ctty3(I 4 VA- State: mg_ Zip: /9 /,IG' Contr*Ti ��pp��. y(� j ) Q /'/ G[J Name: DJ !'t 6114 Phone�v-/ gl 7"/ 1 / J2 f V!1y Ipt �7��/' �-�G /�I,r / f ,,,,,/ Fax: Address ,IU e ,1 L.. 300 Cit etaVf.�Vffziel State: Zip:474.2e, License No: �LKOR L 0f, I , Q City Business Lic: Coeiti� UPFuject.lMia Ls Name: ) 2L"IJ NI CIC Phone: 5 q0- 1_97g #OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS(per trap) SINKS Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, Prep/Culinary Meat DISHWASHER / CLOTHES WASHER GARBAGE DISPOSAL / WATER SOFTNER /'A FLOOR DRAIN Area,Case,Coil,Trench,Condensate ►�/I ROOF DRAIN/OVERFLOW DRAINS 999 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 WATER HEATER If Gas,See Mechanical INDUSTRIAL WASTE PRETREATEMENT 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 BACK FLOW PROTECTIVE DEVICE Other than atmospheric type ype vacuum breakers MEDICAL GAS INCEPTORS DCASH 0 CHECK 0 VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: P:\Community Development\02 Administration\03 Forms-Official Vcrsions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc