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2013, 03-07 Permit App: BLD-2013-0365 Plumibng FixturesS3kane jValley� Plumbing Permit Application Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 PERMIT NUMBER: ❑ Commercial Residential SITE ADDRESS: / 0004- Z– 114t11 Building Owner ("_1.--,.. 5' ✓1 Name: Phone: Fax: Address: City: State: Zip: Contractor /‘•1 . !1,--.1."--<-1 ,J W` Name: r� 1(et,,,,\ Phone: 9 5-{i. 037 Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name:�_ Phone: S-4. _ 1 U J ru # UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS (per trap) ` SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL 4-- WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate di— 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 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://www.spokanevaileyorq/ under the quick links for Forms, Master Fee Schedule. http://www.spokanevalley.org/filestoragc/124/938/210/948/1496/2743/Plumb App.doc