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2010, 04-26 Permit App 10001157 Tub
a, Spol�ane ®0Valley- Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 perm i tcenter@snokan eval l ev. ore Community Development Plumbing Permit Application sFTEADDRESS: 103io f�, (4Z:tE^oc w9C-)O /c= 11 C 7 LO' PERMIT NUMBER: PERMIT FEE: n Commercial 1g Residential Building Owner Name: ct-EPhon . Fax: Address: © r1-6E4_(tt c_,f City��}�� State: Zip: Gt G w.:''rr 77 Contractor Name: ..{,�-�, �(b Phone• Fax: s-,+1�9S U�I h��11'�l ild�i Address:! 6trCity:5 fbciL‹.._ State: L.6 A Zip 1 '' A xy License No: city Business Lic: cc 0 Contact/Project Manager: Name: Phone: # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS 1�``_�'�' feet v CL si1,j c.Ak.-_,Vie ie {� SHOWERS (per trap) V 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 EICASH ❑ CHECK ❑ VISA ❑ MC EXPIRES: Card# VIN: SIGNATURE: CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orgj under the quick links for Forms, Master Fee Schedule. http://www.spokanevalley.ora/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309. doc