2014, 09-15 Permit App: BLD-2014-2197 Sewer ReversalCommunity 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 ❑ Commercial
SITE ADDRESS:
Residential
Project ---L,LM._zuy—z(
RECEIVED
FP 1 5 7Q14
PERMIT FEE:
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Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
Building Owner
Name: ...5;1ZOt%-frig So"- 16- Phone: --.. rFax:
Address: City: 5/60o State: Y1C /7 Zip: 7 /‘
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Contractor
Name: Larry Miller Excavating, Inc. Phone: 509-926-1200 Fax: 509-922-5010
Address: 7117 E Rutter Ave City: Spokane Valley State: WA Zip: 99212
License No: LARRYME878NT City Business Lic:
Contact/Project Manager:
Name: Larry Miller Phone: 509-218-3335
# 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 te(+c1S p
/
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 ti
s
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.