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2015, 03-20 Permit App: BLD-2015-0596 Plumbing Fixtures
Community Development • S0 ,Th Permit Center pokQne 11703 E Sprag ue Ave,Suite B-3 Project #Erw2X( J ''0`-) 14 Spokane Valley,WA 99206 .0.SValleym PHONE: (509)720-5240 RECEIVED FAX: (509)688-0037 (� PERM ZJ I5 I Plumbing Permit Application 0 Commercial 0 Residential SITE ADDRESS: P 3/9' i 9 aye/ CSV PERMIT CENTER 1 SU�3 # / ----71riEV # 7j Building Owner ©hit S 4" j o4, J I /�ro,�r�l - Name: / • X Phone:6 9_3.17 i y,J Fax: 8' '413 77 Address: 42 3/y ,e/ ." ave. City: r?/('!J/7 6� 2/ye�/ State: Lk/ /• Zip:9 CJg/.‘'-�yy Contractor crt02 `� ar " . ,I J/r'-' Name: fl�", Phone:/7_d s, Fax: eo-43 7 7 Address: 4 . `,i ' City: vc State:WA Zip:9 Y:.1/6i,23/ License No: City Fusiness Lic: Contact/Project Manager: era „a/er-eriaLev Name: cif Phone: (2/7_.)17i81 f #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 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 ---7--- CURRENT FEES AVAILABLE AT:http:/lwww.sookanevallev.orq/under the quick links for Forms,Master Fee Schedule.