2014, 06-26 Permit App: BLD-2014-1514 Sewer ReversalSP�il�
.0•0Malley-
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:
,
Building Owner
Name:�t w., Tiket
Address: /yC%/G r il/ixdvr ,4e
Contractor
Project 11' 15
RECEIVED
JUN 26 2014
PERMIT FEE:
C V PERMIT CFNT-w
SUB #
Phone:.5-5-yr Fax.
State: wia
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City: 4,z, d"///
Name: off, — a; \ �c !
Address:
Phone: Fax:
Zip: g9oi
City: State:
Zip:
License No: City Business Lic:
Contact/Project Manager:
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
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
Area, Case, Coil, Trench, Condensate
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
Installation, Alterations, Repair, Reversals
1
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
ATMOSPHERIC IYPEVACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
Signature
CU ENT FEES AVAILABLE AT: htto://www.spokanevallev.oro/ under the quick links for Forms, Master Fee Schedule.