2014, 04-07 Permit App: BLD-2014-0681 Plumbing Fixtures Community Development
Permit Center Project :-
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Slaorkka 111703E Sprague Ave,Suite B-3
Spokane Valley,WA 99206 RECEIVED
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FAX: (509)688-0037
APR n 7 7014
1 PERMIT FEE:
AlPlumbing Permit Application ❑ Commercial Residential C;d r E CENTER
SITE ADDRESS: 11 q 2 5 E / 6 Lam.
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Building Owner p V P�' 'ec-
Name: P41-e ( /Zoe 'ice e� Phone: Fax:
Address: 77 0 S .5 , 5'e'/I7f/ City: S f'o State: ,fie Zip: 9'4/2 Cf
Contractor d2ct4L2�c7 yZL
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Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
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 1
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 ;`
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CURRE %FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.