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2012, 03-28 Permit App: BLD-2012-0239 Plumbing Fixtures
rermn tenter D 01 `~ 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: ►�Y Spokane Valley, WA 99206 �• (509)688-0036 FAX: (509)688-0037 PERMIT FEE: permitcenterfasnokanevallev. ore A_z0t2- Community Development Plumbinn Permit STPE ADDRESS: L Commercial upt Residential Building Owner Name: L © V - o' Phone: Fax: Address: C ,r City: 12 ble, v 1 State: '.J Zip: Gi Zl Contractor Name: pir N pr f �� Phone: SO 0(— 6 I_ Fax: Address: S w 1 v�Y City. State: � Zip: C%Cj'Z License No: ft A R R C h VI 130 City Business I-ic: Contact/Project Manager: Name: Phone: # OF 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, PreplCulinary 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,drainagle or vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS []CASH ❑ CHECK ll VISA ❑ MC EXPIRES: Card# VIN: SIGNATURE: CURRENT FEES AVAILABLE AT. hftp://www.spokanevalley.org/ under the quick links for Fortes, Master Fee Schedule. http://W ww.spokanevalley. orgluploadstCommunity_PcvelopmentIDocuments/FormsIBuiiding(PlumbingPermitAppl icationO4O3O9. doe