2013, 12-12 Permit App: BLD-2013-2531 Plumbing Fixtures Permit Center
"' 11703 E Sprague Ave,Suite B-3
Spokane Valley,WA 99206 PERMIT NUMBER:
'0;`�'Vaj (509)688-0036 FAX.(509)688-0037
PERMIT FEE:
permitcenter@sookanevallev.org
Community Development qLP
Plumbing Permit Application J ] Commercial IA Residential
SITE ADDRESS: 7/ _C. 3� �//!�! C, </J/ � /
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Building Owner
Name: LVfL ITUIy! Phone-- ,)CC'It Z FaxV
ViAddrei IANiUeLl 7/ jQ(
Ci Sd1G � IT{�i l E-f State: /A zip::92i76Contrsc'br
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Name: �L i 114rS LL�� Phone f�.i(7 L y" �h (� �'
„ �J �,/' �/� � �,,.�J� Fax / Z L �/5
Address 1`i I J, in f ayrejl� ,7 City_gtahl-VgLel C 7 State: vl Zip e 2ohi
License No: Liu LI-4QR L 02, I Ls City Business Lic:
Contgcf%Peoject Manager:
Name: LP tN (� 1�T 1 . f` Ck Phone c
/�l�lU fV , J / #OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS i
TUBS
SHOWERS(per trap)
SINKS Lav/Basins,Bar, Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
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 grease interceptors functioning as fixture traps
REPAIR OR ALTERATION WaterPiP 9in .drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# / /
VIN: '" C�IJ/ J2 +� /
SIGNATURE: Project # k/
RECEIVED
DEC 1 2 2013 65
P E i T C=NJT E RP1Communiry Development\02 Administration\03 Forms-Ofcial VersionsPermit Center\Plu bin PermPACication04-01;09
dg.doc
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