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2014, 02-25 Permit App: BLD-2014-0311 Plumbing Fixtures
, • ' a01I( -031 Permit Center ) r '" 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: Spokane Valley,WA 99206 ie ' (509)688-0036 FAX:(509)688-0037IT FEE: permitcenter@spokanevajlev.org , n C/IO Community Development f Plumbing Permit Application ❑ Commercial Residential SITE ADDRESS: 4/7 .--C/O `Sr I /t�i g11/ -')4e-e41./ 7!�� 41199-' /‘, Building Owner _ 1 11nn t Namee�. 1 L I 'f,t / -. LIT Phone 01 Yu` -( Fax: W/-F---9• _� '/ Addr Zl�l °i Vl�({U L'�l�` 17 : J� l.'( Ciry3l(rIIC�AJIIC �E State: Zipi 1Z)tfl Contractaar Name: Lid id i �`n qC7.-L...,{ U�.[_C Phone/JO-)��'j r�,-/'f Fax ` ''C j / __- Name: Y'l ' Address.' . "►a/, c `? � City ��1 .4 �tlt State: ' Zi /7 �L/� .�-1L 11;- u�A L L P r License No: LA1 L40,4 L 0) i Le) City Business Lie: Contact/Project Manager:Name: 11LpgN1` ,, (J Phone: � %gr /, ) J #OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS(per trap) Lav/Basins,Bar,Floor,Kitchen,Laundry.Utility,Janitor,Photo,X-ray,Food, ,..5....SINKS Prep/Culinary Meat DISHWASHER / CLOTHES WASHER GARBAGE DISPOSAL / WATER SOFTNER FLOOR DRAIN Area,Case,Coil,Trench,Condensate / ROOF DRAIN/OVERFLOW DRAINS 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 3 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 WaterPm iP 9• drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS OCASH 0 CHECK 0 VISA ❑MC EXPIRES: Card# VIN: SIGNATURE: P\Community Development102 Administration\03 Forms-Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc