2013, 12-19 Permit App: BLD-2013-2572 Water Heater Community Development — 0 — 2-57
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_ Permit Center PERMIT NUMBER:
So° ane 11703 E Sprague Ave,Suite B-3 PEIt1VSIT FEL`.
1 Spokane Valley,WA 99206 ;—-tl
Valley" PHONE: (509)720-5240
FAX: (509)688-0037 F r C i e C ti--
RECEINLbD
Plumbing Permit Application 0 Commer ��l, , . i 1entia
SITE ADDRESS: 1 0 �� r �3(--d---
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Building Owner
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Name: �.✓c_�1 • Phone: sI % Iax: Y
Address: 0 �oo D 3J 1a ��� City: /l.�/C .. r tate. Zip:
Contractor J l� ri t,,ii I,,� f
Name: IQ �,9 Phone: Fax:
Address: 7 5,-" 5 �, G,�, [� ,c 0r City: L 'L, State: Zip:
License No: .I City Business Lic:
Contact/Project Manager:
Name: Phone: 9t/y_ 6:,T7
#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
4F--WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
'ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
4—'WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
4' 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 / f 4
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:.•-- --1, Other than atmospheric type vacuum breakers
MEDICAL GAS r''----- )
INCEPTORS
Signature
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CURREN'1yOEES AVAILABLE AT: o'//www.SDokanevallev.orn/under the quick links for Forms,Master Fee Schedule.
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http://www.spokanevalley.org/filestorage/124/938!210/948/1496/2743/Plumb App.doc