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2014, 08-26 Permit App: BLD-2014-2050 Plumbing Fixtures Projoct , , / 2 Community Development ",' R �"'�`"'�"1�� S_iikanPermit Center `Te' 11703 E Sprague Ave,Suite B-3 1"-- "J• Spokane Valley,WA 99206 A��i ��LF 1 PHONE: (509)720-5240 FAX: (509)688-0037 • CSV PERr.1JT CFr -"E ,PERMIT FEE: I Plumbing Permit Application 0 Commercial [7(Reside)th 3 i` �� R E v. i SITE ADDRESS: Building Owner Name: Phone: Fax: Address: City: State: Zip: Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lie: Contact/Project Manager: Name: Phone: #UNITS PLUMBING FIXTURE ON A TRAP TOILETS r _ URINALS TUBS _ SHOWERS(per trap) Janitor,Photo,X-ray,Food, Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility, 27 SINKS 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 If Gas,See Mechanical ,fir 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 Signature CURRENT FEES AVAILABLE AT:http:/fwww.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.