2014, 03-24 Permit App: BLD-2014-0559 Sewer ReversaleissoNt...
Permit Center
11703 E Sprague Ave, Suite 8-3
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
permitcenter@spokanevallcV.org
Community Development
Plumbing Permit Application
SITE ADDRESS:
;4::1`,FIVFD
mAY `i 2014
'EAdeft CENTER
ER
E:
rci
Residential
Building Owner
N ger. peze Phone: of.r...—Ce -°"-r
Address: /.2 6%2 3 /iti A.,vv. ‘,...,./ Az.City
Ka i(ey State: WA ZiP: 749:/. e g"
.1,0
Contractor
Name: Lit r , t „( A< i ffee vet.ii_e, Phone: a c.hz a," Fax 11,62..2 - 5 -of 0
state: W'n
Address: .7 I ( 7 .c. ,.16.4. tt-er- v eZip:
,4
License No: inewr If itvt e 878 N. 7- City Bu&ess Lic:
Contact/Project Manager:
Name: Phone:
# OF LINTS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utifdy, Janitor, Photo, X-ray, Food,
Prep/Cufinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Cod, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
;k WATER PIPING/DRAIN-IN WASTE
1/17 Pro-ir- Insta�ation, Aiterations, Repai R e. r
/
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer prooter, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEA 1 ER
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 Osing
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:
CURRENT FEES AVAILABLE AT: http://vonovv.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.