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2013, 04-11 Permit App: BLD-2013-0628 Plumbing Fixtures
�.w nv e jMtlley Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 Plumbing Permit Application ❑ Commercial Residential Project RECEIVED CS' SITE ADDRESS: % 1 '7 / c APR , 2013 PERMET FEEE NI TER Building Owner Phone: Fax: Name: pi- /S c,,,,L C /` k, (S J Address: 2 -) I I C, G /_ a,/.Li( Cit - City: 1r �.- -�. li State: . Zip: Cj a3 F/ Contractor / Name:Phone: Fax: �F/'�r.{��/ «'o�� „.„.,2_,.1.•,..÷,.. S�-Y' ..$1,,s, 2! G `� 4 fj(a. p Address: J - O. G07C (4,0 % C ty: !l�,oi,__ v- 6_., SState: e„,47 Zip: dry°..,7 License No:Jef,, M am y ©f7 City Business Lic: Contact/Project Manager: Name: •1'z - guy n—� Phone: "� 24,4_,. 4.79.6,,4/ # 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 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 ` e -G t O'C 'r 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--- ifiliWi32.1" 16 MEDICAL GAS ���� INCEPTORS Signatur / C '401NT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.