2014, 07-29 Permit App: BLD-2014-1799 Sewer Reversalsoolial.<e\a.
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 ❑ Commercial / -esidential
SITE ADDRESS: '7.12 -145...____I -e7.617 to&cc- di -
Project # 2-6 I`"1 I M
RECEIVED
JUL 2 9 2014
PERMIT FEE:
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Building Owner ' mid i4 , 6���6�.
Name: WIC t Phone:3-' L CrL c1Fax: ��
Address: 73 2_Li LEE Orify e Cit . I (eai � VLL ! State: ii&t., Zip: ei)472% Z
Contractor e �G���A_
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Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
3
TOILETS (
URINALS
TUBS I
SHOWERS (per trap)
SINKS1
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING1
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
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
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INCEPTORS %/ n -,
/A
Signature ; 7 X jL(
CURRENT FEES AVAILABLE AT: httD:/lwww.sDokanevallev.oro/ under the quick links for Forms, Master Fee Schedule.