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2012, 05-21 Permit App BLD-2012-0697 Plumbing FixturesSpokane 1.0.fValleyr 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter@spokanevalley.org PERMIT NUMBER: Bid - f Z - / PERMIT FEE: 6 7 %c/ Coat rnunity Dcv clupmcnt Plumbing Permit Application SITE ADDRESS: n Commercial Residential Building Owner Name: rJQ �j�4 `, Phone:9i _ , / _/�04/ Fax: ` Address:%� 2 /�� (� City ✓(� /�' (/ State: �/,1_ /Nv Zip. �(O Contractor,i ,J-1�1 € , C / Name: —�' Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: Phone: PLUMBING FIXTURE ON A TRAP TOILETS # OF UNITS URINALS TUBS SHOWERS (per trap) SINKS DISHWASHER Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER ( FLOOR DRAIN ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE WATER USING DEVICE PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER INDUSTRIAL WASTE PRETREATEMENT INCEPTORS REPAIR OR ALTERATION ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE MEDICAL GAS Area, Case Coil Trench, Condensate Installation, Alterations, Repair, Reversals Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler If Gas, See Mechanical Including traps, vents except kitchen type grease interceptors functioning as fixture traps Water piping, drainage or vent piping Other than atmospheric type vacuum breakers INCEPTORS ❑CASH 0 CHECK VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: CURRENT FEES AVAILABLE AT: http://www.spokanevalrey.org/ under the quick links for Forms, Master Fee Schedule_ http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Bullding/PlumbingPermitApplication040309.doc