2014, 10-06 Permit App: BLD-2014-2416 Sewer ReversalSpo"kan ne
.0.0Valley.
Community Development •
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Project ri 7-90) `f --414(
RECEIVED
OCT• 0 6 2014
SV PERMIT CENTIkERMITFEE:
Plumbing Permit Application 0 Commercial 0 ResidentiaP
SITE ADDRESS: /V /%d l /lvn-nt »n
SUB #
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Signature
CURRENT FEES AVAILABLE AT: http:/Nmwspokanevallev,oref under the quick links for Forms, Master Fee Schedule.
Building Owner
Name: 4.Phone: -e,q yd7-0x70 Fax:
Address: City: ,%j�a%<c:.� State: wG. Zip: f),9:),..)A/
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Contractor
Name: _ Phone: Fax
Address: City: State: Zip:
License No: City Business Lie:
Contact/Project Manager:
Name: Phone:
# UNITS
ON A TRAP
PLUMBING FIXTURE
• TOILETS
-
URINALS
TUBS
trap)
SHOWERS (per
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
SINKS
-
DISHWASHER
-
CLOTHES WASHER
GARBAGE DISPOSAL
WATERSOFTNER •
Area, Case, Coil, Trench, Condensate
FLOOR DRAIN
DRAINS
ROOF DRAIN/OVERFLOW
FOUNTAIN, DRINKING
WASTE
Installation, Alterations, Repair, Reversals
`
r
WATER PIPING/DRAIN-IN
DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
WATER USING
SYSTEM
PRIVATE SEWAGE DISPOSAL
If Gas, See Mechanical
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
INCEPTORS
Water piping, drainage or vent piping
REPAIR OR ALTERATION
VACUUM BREAKER
ATMOSPHERIC TYPE
DEVICE
Other than atmospheric type vacuum breakers
BACK FLOW PROTECTIVE
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: http:/Nmwspokanevallev,oref under the quick links for Forms, Master Fee Schedule.