2014, 05-27 Permit App: BLD-2014-1180 Sewer ReversalSpokane
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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 0 Commercial VI Residential
SITE ADDRESS: 3-02 ( /v /3 °fit
Project # `4 /OD
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RECEIVED
MAY 2 7 2014
PERMIT FEE:
C6V f IRMIT CF.P'T 9
SUB 4
Signature
CURRENT FEES AVAILABLE AT: htto://www.spokanevalleV.orq/ under the quick links for Forms, Master Fee Schedule.
Building Owner
Name: - Phone: Fax:
Address: City: State: Zip:
Contractor
Name: mm 11 Phone: 1,7 q- Si'7 a Fax:
GiAA.I �'� CSC` (I' D (/7 c
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Address: I t r o 9 `� `d U 4 City: s ,,,a, at neae y State: - Zip: / el O /.6
License No: s� City Busm ss Lim
Contact/Project Manager:
i `%Q -t/ /10 Gti1a G g NI✓ Phone: Q7 C/.- s r/ A
Name: p/4_
# 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
WATERSOFTNER
•
FLOOR DRAIN
Area, Case Coil, Trench Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
WATER
SEWAGE DISPOSAL. SYSTEM
PRIVATE
HEATER
If Gas, See Mechanical
WATER
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
FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
BACK
GAS
MEDICAL
��
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: htto://www.spokanevalleV.orq/ under the quick links for Forms, Master Fee Schedule.