2014, 06-24 Permit App: BLD-2014-1482 Sewer Reversal*Wane
,r000Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
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Plumbing Permit Application ❑ Commercial X❑ Residential.
SITE ADDRESS: 2426 North Long Road Spokane Valley, WA 99016
Building Owner
.
Name: Cliff & Julie Ayers 509-263-2591 Fax:
2426 North Long Road Spokane Valley WA 99016
Contractor Homeowner
Name: See above Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: See above
Name: Phone:
# 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 (Sewer)
X
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
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.