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2015, 03-03 Permit App BLD-2015-0367 Plumbing FixturesSpokane Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 Plumbing Permit Application ❑ Commercial Residential SITE ADDRESS: ! Z 7/g 2 • /2,X 044) W11 ,1 I PERMIT FEE: Building Owner Name: • Phone: Fax: Address: City: State: Zip: Contractor Name: ,7 jpfe-- RA,it m/3i Pf'. Phone: Sof?- £135- I ,X, Fax: Address: p`? cam. L.✓ izOSS City: % lc State: cAfyq _ Zip: QI�ZO 5 fr License No: f �� 5 o 2 City Business Lie: ContactJProject Manager: Name: (66 7, dTTlIr.« Phone: so9 - 4,3 S- 141:. # UNITS PLUMBING FIXTURE ON A TRAP 7 • TOILETS Z URINALS TUBS SHOWERS (per trap) z' SINKS Lav/Basins, Bar, Floor, lQtchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat Z.— • DISHWASHER 1 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 "rL 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 .i.ing, draina.e or vent .i.ing ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS __ ProjectD#;?� CURRENT FEES AVAILABLE AT: http:l/www.spokanevaltev.orq/ under the quick finks for Forms, Master FR EIQUE 1 V E D D MAR 0 3 2015 CSV PERMIT CENTER SUB # 1 REV.