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2015, 04-08 Permit App: BLD-2015-0769 Plumbing Fixtures
Community Development stia‘\11144, Permit Center 11703 E Sprague Ave,Suite B-3 jSpokaneValley,WA 99206 VaHez PHONE:HONE: (509)720-524040 FAX: (509)688-0037 PERMIT FEE: Plumbing Permit Application ❑ Commercial 1esidential SITE ADDRESS: /2-7/-6. ZT • Y� Building Owner „eie_,,,,,..- f F y 1b._ Name: Pho Fax: c��' �'3�1'- �Zl� Address: /L 7! , Z1 City: ___y4 ;. i)//t/i)//t/ State: Git,e_ , Zip: Contractor Name: / /4.44 R 2,_v Phone/ 927_74/6(lax: Address: /to _. --. ...1. �� `l.;_s A. if . Citr� P ��/y` State: A-- zip:,T9 2_,./2License No:�ia- titil gad.L2h City siness Lic: / Contact/Project Manager: Name: ziety4,e y Phone: .12_7 7 v,, ,,c, #UNITS PLUMBING FIXTURE ON A TRAP TOILETS CO URINALS TUBS CO) SHOWERS(per trap) Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, /tel SINKS Prep/Culinary Meat C___J DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area,Case,Coil,Trench,Condensate //if 1'f ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals CO 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 r-- ---__.,.�_._. INCEPTORS I Project .RuD, T _=0(5=C5-+4,`- Signature )V. _* . ELF—C_ELILEZ___Ip. CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/under the quick links for Forms,MAIN Faac2045Ie. CSV PERMIT CENTER SUB - r_._.._ _..L._' REV. =,- 1