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2012, 06-07 Permit App BLD-2012-0832 Plumbing FixturesDane 0Valley- 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter@sookanevatlev.org PERMIT NUMBER: 64, . / Z ''3 z PERMIT FEE: 0 G 7 oo NNE Community Development Plumbing Permit Application SITE ADDRESS: EV o r! E Biro ccd t,✓ul ACE S pakaa-te Va //r n Commercial >41 Residential Building Owner Name: Phone: Fax: CLY11 Phone: s-oR' gg17 75-9( Address: i�(JCity: State: s • 5hL'tm-melt Dr i.7rC�,1 a ves wq Zip: Contractor Name: �, t1 e�t� p_dc� t-E K Phone: S0q sg - 3 yy -7 Fax: Address: Qa. got. 2,5-11 City: 5Fbk4At State:u/,q Zip: ,gaa0 License No: B 01 1 pc Cf 3 S- a".City Business Lic: Contact/Project Manager: To' - Gos a F� '1 Name: Phone: 42oS'9l`o'- 76 q:2 # OF 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 nit PRAC2= hICOr1QAI 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 1 INCEPTORS ['CASH ❑ CHECK ❑ VISA ❑ MC Card# SIGNATURE: EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule. http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PlumbingPennitApplication040309.doc