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2013, 04-26 Permit App: BLD-2013-0730 Plumbing Fixtures
V. 04/26/2013 09:43 ■ ■ ^ #0401,Nommi. ▪ Sfiiikane 5098920609 Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 FOLSOM. FTI Plumbing Permit Application ❑ Commercial ,'Residential PAGE 01/01 PERMIT FEE: 0 SITE ADDRESS: q{/9- .� Co -b;,� Building Owner G f Cre - Phone: J �09— —5� Fax Name: Address: /_��y N man- • � City: a -e d N CCr State: ZIP= 770/G Contractor 9Jt Name:Ghrr'_5 /sow. Phone: 97-3c / Fax: "0 q 7 J 0G0? .FC n n � Address: ,72-2 s- 13aiivtd�R1_ City: s^o v,�vaI1�, State: 'VL! Zip: 99c 3-7 License No: F -Q j_ ZW $773 Liv City Bu iness Lic: Contact/Project Manager: Name: GV1tf'S f; Phone: crTct_37i_i� #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, Cotl, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Ingtallation Alterations, Repai Reversals WATER USING DEVICE Ice and/or Coffee maker, hose bib. steamer proorer, caT>Sonator, swamp cooler PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER IT 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 ventplping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmogpherto type vacuum breakers MEDICAL GAS INCEPTORS Signature CURRENT FEES AVAILABLE AT! htp?://www-spokanevallay.orn/ under the quick links for Forms, Master Fee Schedule.