2015, 03-04 Permit App: BLD-2015-0390 Plumbing Fixtures a
Community Development 0-0 l t Plumb ,
Permit Center `"" O
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11703 E Sprague Ave,Suite B-3Q/l(��� �}
Spokane Valley,WA 99206 {'
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jVa ` PHONE: (509)720-5240
FAX: (509)688-0037
PERMIT FEE: g()
Plumbing Permit Application
❑ Commercial -Residential
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SITE ADDRESS: ` J 0 I E- ' �l3 R
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor (`� o,(—e\on V\ Lh.t-\o
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP vF 1
TOILETS 6. Mob b '
URINALS
k Gam_ t
TUBS /
SHOWERS(per trap) i ‘K to w N,i)c�
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
_ SINKS Prep/Culinary Meat !, �!� 4002
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DISHWASHER I /- LK .,- L. nt)
CLOTHES WASHER ), \ & -may- t.-EX.
GARBAGE DISPOSAL I I• �Nt- / _a.)
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WATER SOFTNER (s W
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FLOOR DRAIN Area,Case,Coil,Trench,Condensate 1l -CO-C) b LAI
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,steamerproofer,carbonator,swamp cooler j X i- , ati,Q,l
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 4 i -6).
CURRENT FEES AVAILABLE AT: tt .s k nevail under the quick links for Forms,Master Fee Schedule.
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RECEIVED I )46tt
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MAR 0 4 2015
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SUB # _-�.._I REV.