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2013, 04-29 Permit App: BLD-2013-0750 Drain Connect
Community Development `r"O1 lime Permit Center ime 11703 E Sprague Ave,Suite B-3 'S`�Alleyy Spokane Valley,WA 99206 VPHONE: (509)720-5240 n FAX: (509)688-0037 /6 20/. i ?7q1 PERMIT FEE:* I/3,co Plumbing Permit Application ❑ Commercial Residential SITE ADDRESS: /e!d( _ '(- /1 . l/e Building Owner Name: /t f l« P,,e I, Phone: a 7�j I25 Fax: Address: S,z j,,�ge City: St,® (/k�/Cy State: 1474 Zip: i'9a©G Contractor Name: 7:24'.-72e,0 Fax: f� —flim ‘Ldir� t /�l%/C@v fKC4(/Ii Phone: ( Address: 7/i, t,tr,r Ake City: 3 Y(y :e y State: WA Zip: t� License No: /ANN /1/KE ?(.57 PK City Business Lic: Contact/Project Manager: Name: /!i i„,,,v ;74i_ Phone: / 5_333 #UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS(per trap) Lav/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 ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING r �+ WATER PIPING/DRAIN-IN WASTE �l DIV-in Installation,Alterations,Repair,Reversals jcw� V. / 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 Signature - ,, 7,, 509.-... URREN FEES AVAILABLE AT: http://www.spokanevalley.org/under the quick links for Forms,Master Fee Schedule.