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2013, 02-06 Permit App BLD-2013-0202 Plumbing Fixturesart of spol_ne .valley. remit Lenter 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter@spokanevallev.org Community Development Plumbing Permit Application SITE ADDRESS: ! Zgo Z E Mt' S 5 CO v - PERMIT NUMBER: s (d -1 3 -- zo PERMIT FEE: c-c-c9e>7 n Commercial ) Residential Building Owner Name: in -p t) crti L // Phone: Fax: Address: a-80;:-)- E . /Y) / SS/DAB / City: 5POK s V t- t-� State: WA - Zip: Contractor Name: Cn () De Kr "a t CIDAS,, Phone: Fax: Address: (O--SP�!� - City:�)Ck State: :�,� q Zip: Q Q AD 3 License No: City Business Lic: Contact/Project Manager: `k Name: 1 C lc 1 i . Q.,0 Phone: PLUMBING FIXTURE ON A TRAP TOILETS # OF UNITS URINALS TUBS SHOWERS (per trap) SINKS DISHWASHER Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat CLOTHES WASHER GARBAGE DISPOSAL 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 INCEPTORS ❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule. http://www.spokanevaney.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309. doc