2009, 10-29 Permit App 09003526 WasherLEane/`
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Community Development
Plumbing Permit
Pennit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX. (509)698-0037
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SrrE ADDRESS: ``6o
PERMIT NUMBER
PERMIT FEE:
❑ Commercial [ esidential
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Building OwnerS. /tPADe,
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6w � Phone:Sv7 _ 8(;y_. Fax:
Address: yfh%3�Z-i"n IC2. 2
City: 62S?'�i State:
Zip:
.Contractor.
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Phone: O� Fax:
Address:
City: State: Lock
Zip: 99
License No
City Busin ss Lic:
ContattlProjent Manager.
Name:
Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (par hap)
SINKS
LavBasm, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Pre Culina Meat
DISHWASHER
CLOTHES WASHER --
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN=11d/�
rea Case Coil Trench Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN DRINKING
WATER PIPING/DRAIN-IN WASTEallation
Alterations Repair, Reversals
WATER USING DEVICE
er, hose bib steamer proofer, carbonator, swarnp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
N Gas See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping,drains or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than abnos hedc type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH ❑ CHECK ❑ VISA RIOC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: htto://w .spokanevallev orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokwevalley.orgluploadsIComm=ity_D cvelopmentIDocuments/Fortes/BuildinglPlumbingPermitApplicationD40309.doc