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2014, 04-14 Permit App: BLD-2014-0754 Plumbing Fixtures
Community Development Project '✓y Permit Center ✓ Siitii ane H 11703 E Sprague Ave,Suite B-3 RECEIVED Spokane Valley,WA 99206 YdlleyX PHONE: (509)720-5240 FAX: (509)688-0037 APR 14 2014 //51k Plumbing Permit Application ❑ Commercial Z Residential CSV P Rpl61 -'4EFE•TER SITE ADDRESS: SUB # / REV. 7 Building Owner ,,/ �J Name: i�ic.'1ll�l ��� Phone: pc _I,elf_7/ Fax: Address: !�/ : ` .�7 l � �jr.�`f, .�/five. Cit y���N,(� kit/70. State: �✓'� Zip: Contractor Name: 5.e/I Phone 97 4 _q _ 2,4, Fax. Address: City: ii // State: Zip: License No: City Business Lic: Contact/Project �Manager: p Name: J L ' / y/l Phone: 2'/ /�D � �✓� #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 rations,Repair,Reversals WATER USING DEVICE Ice and/or Coffee maker, ose bib, teamer proofer,carbonator,swamp cooler ,g- 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 ater 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 AVAIL LE AT: htt.:llwww.sl Ile .or./under the quick links for Forms,Master Fee Schedule.