2014, 05-19 Permit App: BLD-2014-1114 Plumbing ReversalPermit Center11703 E Sprague Ave, `�'„,
Spokane Valley, WA
(509)688-0036 FAX (509)688-0037 RECEIVED
acv oreore
Community Development
Plumbing Permit Application
MAY 1 9 2014
P:
NUMBER
P
FEE:
ommercial Residential
SITE ADDRESS: '73/2 E I Ctt l/s,4 Mq9 NJ TF R
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card# .-
SIGNATURE
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: htt://www.sookanevalley.orof spokanevalley.orof under the quick links for Forms, Master Fee Schedute.
I SUB #r I 1 REV. # I , I
Building OwnerQ7
LL
Name: ton t,t 7' P Sze Fac
Address: .54.W1. e- C • �p. pi( y Stater ZiP: a /02
Contractor / ..
Name: Larry MI jcr FXc.j c Phone: JdcO' Idcx" Fay 9aa-iota
Address: .? f t E. �w++e r 4e city. `I vL State: w�i : % 7a ►a
License No: LA R R Y fr, E 7 r N( City Businlss lie: f
Contact/Project Manager.
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
-
SHOWERS (per trap)
SINKS
Lev/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, DRINKING
OP WATER PIPING/DRAIN-IN WASTE
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,74 AYRfh Installation, Alterations Repair, Reversals ..5...e Kt 'G r
/
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL -SYSTEM
WATER HEATER
If Gas, See Mechanic
INDUSTRIAL WASTE PRETREATEMENT
T
INCEPTORS
Including baps, vents except kitchen type grease interceptors functioning as fixture baps
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
INCEPTORS
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card# .-
SIGNATURE
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: htt://www.sookanevalley.orof spokanevalley.orof under the quick links for Forms, Master Fee Schedute.