2014, 03-18 Permit App: BLD-2014-0507 Sewer ConnectionScRia'_-
ne
Va11ey
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240 ! Project
FAX: (509) 688-0037
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Plumbing Permit Application ❑ Commercial
SITE ADDRESS: 1 a� D N ' t-0771
Residential
Building Owner
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Address:
Contractor
PFAtMIT FEE:
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City: 5
Name:
Phone: Fax:
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License No: City Business Lic:
City:
Contact/Project Manager:
Name:
Phone:
State: Zip:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
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, DRINKING
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
Installation, Alterations, Repair, Reversals
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
REPAIR OR ALTERATION
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
INCEPTORS
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.oro/ under the quick links for Forms, Master Fee Schedule.