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2015, 02-11 Permit App: BLD-2015-0243 Sink Community Development Permit Center SY okane 11703 E Sprague Ave,Suite B-3 Spokane Valley,WA 99206 Valley- PHONE: (509)720-5240 FAX: (509)688-0037 I PERMIT FEE: I Plumbing Permit Application ❑Commercial tst Residential SITE ADDRESS: 1 :‘ e 1 s' E / Building Owner 1' 0 (� (, D (Jt(a w :t Name: Phone: ?q® &`� i�i7 Fax: Address: City: State: Zip: Contractor G' vQ �s wt. fi F rk/ Fax: Q Name: Phone: 2,,._ ‘27&,/ O'3.- 9.3/ Address: / ? 6, ©4, .5' i4,,,,,,,,e_ n City: r e-d-c- YState: L & Zip:// O7 License No: City Business Lic: Contact/Project Manager: AI fg Cc.,a,als-t ,,:-✓- j Q©�� Name: Phone: / I #UNITS ,oPLUMBING FIXTURE ON A TRAP •TOILETS URINALS TUBS SHOWERS(per trap) Laundry, �, I Lav/Basins,Bar,Floor,Kitchen, 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 .fa ,etz CURRENT FEES AVAI ABLE AT:httpalwwwspokanevaliev.orq/uhder thequick links f.r Fi�jFerf ee S�ecige_._apis—343 RECEIVED 0 FEB 1 1 2015 CSV PERMIT CENTER SUB # I I REV,