2014, 06-09 Permit App: BLD-2014-1318 Sewer ReversalPermit Center
1170 E Sprague Ave,
Spokane Valley, WA
(509)688-0036 FAX (
Contunmity Devdopment
Plumbing Permit Application
SITE ADDRESS:
Building Owner
Name: 7j/01e.— 0
Address:
Contractor
5
470,j e ct #a)"•)-014- /3 6
"6884°37 RECEIVED
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JUN 0 9 2014
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ERMIT NUMBER:
FEE: 1-/3 9 0
Comme
ial Residential
/7 al': fr el 7
Name: Larg-/ ffl Ver Exc. —LYN C
Address: E. +r}ie
License N°: LARR E 7 I' APT
Contact/Project Manager:
lido • i Aoc,
Fax '-5o10
WA
City BusinIss Lic:
Phone:
#o1 UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, (Ally, Jantror, Photo, X-ray, Food,
PrepiCamary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case. CoiTrench, Condensate
ROOF DFIAIWOVF_RFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
aitti Installation 5ew-efr-
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER 11EATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
REPAIR OR ALTERATION
Includinit traps, venal except kitchen typejrease inbweeptors functioning as Exhire traps
r ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
INCEPTORS
Water *IT, drainage or vent piping
Other than atmospheric type vacuum breakers
OCASH 0 CHECK 0 VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: htti://rwm.sookanevalley.orq/ under the quick finks for Forms. Master Fee Schedule.