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2012, 09-10 Permit App BLD-2012-1528 Plumbing FixturesSpokane <0;00Valley Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenterespokanevalley. org Community Development Plumbing Permit Application SITE ADDRESS: PERMIT NUMBER: PERMIT FEE: =" 3 C ❑ Commercial 41] Residential aummng owner %ice // f, v Name: J 7/1 6-06 Phone• :9 -g°Qd Fax: Address: 4 ?i j% City: State: W .� 9 Zip: q eV v!L/ Contractor 7 Name: v Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: w 1O)PI/Phone: (e3\9‘.„ p v # 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 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 INCEPTORSj fJ(CIi Oro--i r. Co yin ech'vn f ['CASH "CHECK ❑ VISA ❑ MC Card# SIGNATURE: EXPIRES: VIN: CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orgf under the quick links for Forms, Master Fee Schedule_ http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PIumbingPermitApplication040309.doc