2014, 06-02 Permit App: BLD-2014-1257 Sewer ReversalSokan' e�`�''
•
fey.
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 0 Commercial [Residential
SITE ADDRESS: /2. /) /dA i1195i C 'T
Project
RECEIVED
JUN 0 2 2014
CSltifit541IN:C ENTER
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SUB #j j REV.
Building Owner
Name:
Phone:
City:
Address: i 3 i ii jA ISA Y- C / J f vc
Contractor
Phone:
Name:
City:
Address:
City Business Lic
License No:
Contact/Project Manager: #0.9®x 1 A./.444S,-).0_c,Name:
Phone:
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
Lay/Basins, Bar, Floor, Kitchen, Laundry,
SINKS
Prep/Culinary
. DISHWASHER
CLOTHES WASHER
•
GARBAGE DISPOSAL
WATER SOFTNER •
Trenc
FLOOR DRAIN
Area, Case, Coil,
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
I
WATER PIPING/DRAIN-IN WASTE /
Installation, Alterations,
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steame
PRIVATE SEWAGE DISPOSAL SYSTEM
See Me
WATER HEATER
If Gas,
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type greas
1
REPAIR OR ALTERATION
Water piping, drainage or
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric ty
MEDICAL GAS
INCEPTORS
Signature
Fax:
.State: Zip:
Fax:
State:
Zip:
Utility, Janitor, Photo, X-ray, Food,
Meat
h, Condensate
epair, Reversals
r proofer, carbonator, swamp cooler
chanical
e interceptors functioning as fixture traps
ent piping
e vacuum breakers
# UNITS
i
CURRENT FEE AILA=LE AT. ttp://www.sookanevallev.ore/ under the quick links for Forms, Master Fee Schedule.