2014, 05-07 Permit App: BLD-2014-0979 Plumbing ReversalCommvarty Development
Pamir Coria
11703E Sprague Ave, t B-3
Spokane Valley, WA
(509)688-0036 FAX (5
entre
Plumbing Permit Ap lication
SITE ADDRESS: 3 7 / 1
,t # -As
RECEIVE
MAY 0
NUMBER
FEE:
❑ ommercial EResidential
1145a
u 14-C Rwill C
OCASH O CHECK O VISA OMC
Garda
SIGNATURE:
EXPIRES:
NW
CURRENT FEES AVAILABLE AT: httpi/www.sDokanevafdiv.orn/ under the quick links for Forms, Master Fee Schedule.
BuildingOwner
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Name: 11 eIt- fr as7 oft. L__
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Address
jaln1P Crty:'
Contractor
Name: Larry /Yli Ver FXC...tnC Phone qA:0• lam Far 9aa- 5010
/
Address: •7il / E. Ht4++er Age city:
/ Se' WA Zip 9/did
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LicevscNo: LARRVmE 87gN7 Busm Cityirc:
Contact/Pr ojeet Manager:
Name: Phone
*OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
-
URINALS
TUBS
-
SHOWERS (per trap)
SINKS
LaviaasIns, Bar, Floor, Kitchen, Laundry, My, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIWOVERFIAW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
jJ////+
h
1774 aril% Installation, Alteration, Repair. Reversals 5e id e r
/
WATER USING DEVICE
Icelardior Coffee maker, hose bibsteamer pmofer, enrbamtor, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
IfGas, See Medmnical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including bans, 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
I
- 1 Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
I
I
OCASH O CHECK O VISA OMC
Garda
SIGNATURE:
EXPIRES:
NW
CURRENT FEES AVAILABLE AT: httpi/www.sDokanevafdiv.orn/ under the quick links for Forms, Master Fee Schedule.