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2013-1743 Permit App: BLD-2013-1743 Plumbing Fixture
• • � U Permit Center - `3 - I1 \3 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: Spokane Valley,WA 99206 (509)688-0036 FAX:(509)688-0037 PERMIT FEE: 4. I y.( ,cL permitcenter©sookaneval lev.org Community Development Plumbing Permit Application ❑ Commercial Lk Residential SITE ADDRESS' I/ S,e eie Si7 £,k� /Az I ff /G Building Owo�ner Name. Lid! (T8!►tLLLC. Phone:5cc-CI21-(LL)1( Fax V9i �0/ 1 unlit/MS/Pi 3Q ) State: WA- Zip:97 za, Name: LIV L� i1/41-614/1()..�f ��--r� �'/` Phnonnee�®,tv�"/),p �,V....-/*/ Fax: 9.72.-011'3 / 7�1 Addressg_l AI, f1E{ ill ciE %w cit35ftJ�VfIV��iVfIL.�e State: K - Zip:e/V2 6 License No: �LI4OI-I L 02 I Gt r City Business Lic: Cont UP��Fojjet ,MAnyjg�rt�:� � L.-� Name: f"fN tR.Ek kit CIC Phone: 5 qt1 I9 / #OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS(per trap) SINKS Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, r/ 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 PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER INDUSTRIAL WASTE PRETREATEMENT If Gas,See Mechanical INCEPTORS Including traps,vents except kitchen type ype 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 OCASH 0 CHECK 0 VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: / P.\Community Development102 Administration\03 Forms-Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc I