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2014, 05-13 Permit App: BLD-2014-1065 Plumbing Fixtures Project #'&1-7 ?Oi'-" `OV6, DECEIVE Permit Center i 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: Spokane Valley,WA 99206 MAY 13 2014 (509)688-0036 FAX.(509)688-0037 PERMIT FEE: perm itcenter@a sookaneyallev.org CS'! PERMIT CENTER Community Development Plumbing Permit Application ❑ Commercial jJ Residential SITE ADDRESS: 7/3-5•ga/G.X se,ei7IL 4' Bedding Owner Name LL r _C _ Phone: cO.2"Citt G fjFax 'lir f 6f797:3 Addr s t /,j(li Is`/E'L1f Llr ....L� 1 - 300 Cit3okAi -7 VA-1.1v1/ A1. LState: (!RA) Zip 9(711:-/t7 7 11_-/ t7 Cutoetoit Name _ Phonet 't , /lit Fax - lAddresiC out,. e , ). cre CttgGC`( L '�7LLjState: lit,//4- Z !‘1C License No: i*. J _l4t)H j i City Business Lie. Contact/Project Manager: 13 Name: Phone: 51;e/ J 1x - .f i .{ ) w. #OP UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS(per trap) Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray.Food, SINKS Prep/Culinary Meat DISHWASHER / CLOTHES WASHER GARBAGE DISPOSAL / WATER SOFTNER FLOOR DRAIN Area.Case,Coil,Trench,Condensate I ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING WATER PIPING/DRAIN-1N 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 vacuum breakers MEDICAL GAS INCEPTORS OCASH 0 CHECK 0 VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: P:1Community Development102 Administration\03 Forms-Official Vcrsions\Permit Center\Plumbing Permit Application 04-03-09 dg doc