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HomeMy WebLinkAbout2012, 07-31 Permit App BLD-2012-1226 Plumbing FixturesPermit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter(a spokanevalley.org Community Development Plumbing Permit Application SITE ADDRESS: 3316 N. Coleman Rd Spokane -Valley, WA 99212 PERMIT NUMBER:. - J - PERMIT FEE: el ❑ Commercial ❑■ Residential Building Owner Fred Joslin Name: Fred Joslin Phone: 509-869-1447 Fax: Address: 3316 N. Coleman Rd Spokane -Valley, WA 99212 City: State: Zip: Contractor N/A Name: 509-869-1447 Phone: 509-869-1447 Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: Fred Joslin Phone: 509-869-1447 # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS 1 URINALS TUBS 1 _ 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 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 1 Project# N1 —(e-2- —/ RE E1VED ❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: JUL 3 1 2012 CSV PERMIT CENTER SUB # IF REV. # P:1Community Development102 Administration103 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc