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2014, 01-29 Permit App: BLD-2014-0137 Plumbing Fixtures Comn'*"°"`ty Development ------- — - -" Permlrnter Spokane 11703 E Sprague Ave,Suit Spokane Valley,WA 99206 j �y` PHONE: (509)720-5240 ' FAX: (509)688-0037 JAN 2 9 22l PE T FEE: 120 , Plumbing Permit Application ❑ Commercial Elf-esidential �, n T ',, TEPP) - SITE ADDRESS: 2:).-.0AU2.- SLS - �� j : , Building Owner _ .o Name: Phone: Fax: � �, �b�ziu,bernko� ��9— �I 7�-�1��.q A qA Address: •30 v3 E. 4 i vtc , tri.. City: State: W tt Zip: [J 1 Lyn Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: Phone: #UNITS PLUMBING FIXTURE ON A TRAP TOILETS 2. URINALS TUBS 2. SHOWERS(per trap) 2. 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 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 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 c- (04,\. %25/- CURRENT FEES AVAILABLE AT:http://www.spokanevallev.ora/under the quick links for Forms,Master Fee Schedule.