HomeMy WebLinkAbout2013, 04-15 Permit App: BLD-2013-0641 Sewer ReversalCommunity Development
Permit Center
*Wane 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
4000 Walley` PHONE: (509) 720-5240
FAX: (509)688.0037
Plumbing Permit Application ❑ Commercial ® Residential
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PERMIT FEE: ,0 4 3- be
SITE ADDRESS: d9 N hcca Si-- 5/ o7 ak ��
Building Owner `1"-- t /,jc/ 3; A YI i an
Name: Phone. Fax:
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Address: StO V / r2 JOG�5
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City:
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Name: Phone: Fax:
Address: City: State. Zip
License No: City Business Lic
Contact/Project Manager:
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Name: !",1 e1� r^/ren ,i 45e/ e— Phone: L/�.5�.../UCl/Th
N 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
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
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ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: http:l/www.spokanevallev.orgl under the quick links for Forms, Master Fee Schedule.