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2014, 02-24 Permit App: BLD-2014-0304 Plumbing Fixtures
Permit Cerner U � 11703 F Sprague Suite B-3 PERMITNUMBER: U�R1`M Spokane Valley, WA 99206 (509R88W36FAX: (50908-0037 PERMIT EEE: pagryiipi'r'✓ PoI91) "'t-1 I"•'r" Community Development Plumbing Permit Application ❑ Commercial Q Residential SITFADDRIESS: I372.Z L \r> --R– Bails ing Owner Namei []C O i6 Act`Lb; T Phonc Fix Address: ( 3 71 Z I- 10-a- city- 5 n kun J SAK, t,:12, Z,P: l2 Conicaemr Name: ci15 �G S�f - O � j Phone- q,—,f—c" Fax- rll -<1017 Address: '-C7 c �f License No: LSCU 'sL ilki Conmctflar- (Manger: city 'reeiICU_!2S City Rosiess Lic Stan; �4 ZiP-clI No.: ^ Phone:(ir�_ C OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS 1 URINALS TUBS SHOWERS tur SINKS Lav/Basins, Bat Floe, Kderi Laurel, U411ty, Janitor, Photo. X-ray, FooQ 1 prapfconar,wit, DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR BRAIN Area, Case, Ctil, Trench. Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN. DRINKING WATER PIPINGIDRAIN-IN WASTE IneUllafwn, AlteraWnSRepair. Revmaale 1 WATER USING DEVICE lea and/or (I maker, Mase bib. steamer pmfer, carWnatoe swam anter PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If I See MCGanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Intudina Tram, ven6 excet kitchen ly,x, quente interceptors ftinctioning as fixture anis REPAIR OR ALTERATION Water piping,draina vent Diane ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE ONar train acraospi,ene Ina, vaeuten hretiours MEDICAL GAS INCEPTORS (]CASH ❑CHECK [J VISA [I MC CarQp EXPIRES: VIN: Project – 1 i -EB 2 4 2014/ cs'L' aEPVIT -_%7EP PLcommunin Devdopmenrt02Administmtionwi Fnrms-ORicial VersmnstPermit CemertPlnm0is DFpii6pp,awf 3-0Ad c