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2014, 03-12 Permit App BLD-2014-0466 Plumb Fixturesnor ane Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter@spokaneval lev.orQ Community Development Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: n Commercial Residential SITE ADDRESS: T!/ 7 5-6-1-K//2 S1/j E !/ ' 4/ / . 7�lv Building Owner Name: Phone: T G" Fax: Addre.�sJ 1 ('r t;,' tk- i-gr4' o1 C 3s00 City3tIAJ VIt L.Lh/ State: d VA_ Zip: 9(1La7 Contractor _ ��� aa _ (,, p l/ / J � J `� Name: I L L J4 viL!, i 1 PhoneLvr'f I L 7 '.-I �L'1 / , Fax: �� �`2. — ��/ �J Address. f i J o / j f.,� `� . 1 { A v //4 J 1/ %'�! �-] Q: 7 � ,L'��i L d..rr�� 1 9 S�-��.%.� City;�r:1y71�rL V.'7 LI..G 7 State: i/� �- Zip: r/7'7 '20,6 License No: ]AI Lpiom L EiS, i Le.) City Business Lic: ContacUProject Manager: Name: UMA.i i"`1=.IU Kit cic Phone: 6 - -7 y )b # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS �7 o{ URINALS TUBS SHOWERS (per trap) / Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat IL DISHWASHER f 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 + � cf 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 DCASH 0 CHECK 0 VISA 0 MC Card# SIGNATURE: EXPIRES: VIN: Project # `-�—M I'1— CIO( RECEIVED MAR 11 2014 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04 09 dB3loy °3S�- RMIT CENTER SUB # REV.