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2013, 03-26 Permit App: BLD-2013-0508 Water Heater kJ Community Development Lt-, Permit Center PERMIT NUMBER: *mane�e 11703 E Sprague Ave,Suite B-3 ► Spokane Valley,WA 99206 PERMIT FEE: tt�,3. �Q 40,•oValley valley PHONE: (509)720-5240 FAX: (509)688-0037 Plumbing Permit Application ❑ Commercialsidential SITE ADDRESS: 96 I q /07;6t°""` C)-e Building Owner Cbt. 1.00.0•' Name: ���� Phone: Fax: Address: Q� F- y O` i City: State: Zip: Contractor / � e_Atr-7,a)-1-41- ^, /" l,',`1. Name: Weil/ Qi,,,;441,,,c, Phone 7ev y,e2c(f Fax: Address: 6,7?.? Y. City: .4e),A;L__ State: Zip:(F—,47f5( License No: g �,� 9 City Business Lic: J Contact/Project anager: Name: Phone: #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 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 1 INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps,vents except kitchen type grease interceptors functioning as fixture traps REPAIR OR ALTERATION Water piping,drainage or vent piling ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS Signature CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule. C:\Users\hmorris\Desktop\Plumbing App.doc