2015, 05-15 Permit App: BLD-2015-1106 Remodel( TY r
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Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
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Plumbing Permit Application ❑ Commercial Residential
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Project #
RECEIVED
MAY 15 2mci
PERMIT FEE:
SITE ADDRESS: 7/ an�V�i ��]� Vie
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Building Owner
Name: n0t-erL�
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Phone: Fax:
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Address: 7,./m.., c,. Q Fl /1 City: `� wxG va.tte,,j State: (...0 /9 Zip: 14'0v
Contractor
Name: r'') /A. Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: feL/uWA W k..(22(.0.411,1
do A_0(...Phone: ..Z 66 . a 13, 2"%./
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
6
TUBS
/ 6,44 t
SHOWERS (per trap)
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SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
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DISHWASHER
iC3
111 CLOTHES WASHER
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GARBAGE DISPOSAL)
WATER SOFTNER
v
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
b
ROOF DRAIN/OVERFLOW DRAINS
6
FOUNTAIN, DRINKING
O
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
d
PRIVATE SEWAGE DISPOSAL SYSTEM
ift3
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
(3
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
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INCEPTORS
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Signature
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CURRENT FEES AVAILABLE AT: http:/lwww.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.
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