2014, 08-11 Permit App: BLD-2014-1907 Plumbing Fixtures U . 08/11/2014 09:33 15094560373 PAGE 01/01
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Project # g
i.1)-610((f -/lo Y
wole4a1 ;\"-. Permit Center 1 C c F I V E D
11703E Sprague Ave,Suite B-3 PERMI (y IC'
6
(509)6Spokane 4______,
-003Valley,WA 992(509)
(509)688-0036 FAX:(509)68S-0037 PERMIT FyMG 1 1 2014
permitcenter@spokanevellev.ore A��jj
Community Development
Plumbing Permit Application ❑ cogipcisgiiimiptErepaialial
SITE ADDRESS: _ 47,51 Jr 67 2 -11 3,44-4--,A. idA ' . J , REV. ,`
Building Owner -_ .
Name: F3ivPJt?i♦;1C //, we Phone:20g 75- 7a,/5 0 Fax: p
Address: 7 $ ge,t,,ai l si. 4 jz_o City; S �� .. State: twig Zip: 9920/
Contractor ,,//,.. / '� `. u�y- ry 7
Name: Pe L le cprV�brk� jo // q./4,j Phone:aJ 5%.7? 4 6-4 3 0, Fax: •$ y 56' 0? 7 3
Address: g ox l-/ 3 y 6 City. e C�e State: 1.4./A� Zip; y92./9
License No: P icy PP,4 9Y9,p�F CityBusness.1.ic: .
Contaot/.Ptbject Manager: •
Name; TC � Phone: S�9 el Sb id
_
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS /�
Tues Vol/V e r-44 V
SHOWERS(per trep)'
Lav/Basins,Bar,Floor,Kitchen.Laundry,Utility,Janitor,Photo,X-ray,Food, /,A 1
SINKS Prep/Culinary Meat (4LJ/
DISHWASHER ,
CLOTHES WASHER
GARBAGE DISPOSAL
_ WATER SOFTNER
FLOOR DRAIN Area,Case,cos,Trench.Condensate
ROOF DRAIN/OVERFLOW DRAINS ,
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals .
WATER USING DEVICE Ice and/or Cortes maker.hose bib.steamer proofer,carbonator,swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
Ai -'
WATER HEATER If Gas,See Mechanical W
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS Including traps,verde except kitchen type grease lelerceplona functioning as fixture traps ,
REPAIR OR ALTERATION Water piping,drainage or vent piping
ATMOSPryERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL OAS
INCEPTORS
❑CASH ❑CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
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P:1Comrnunity Development\02 Administration103 Forms-Official Versions\Permit Center\Plumbing Permit Application 0d-03-09 dg.doc
Received Time Aug. 11. 2014 9: 37AM No. 0814