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2014, 06-26 Permit App: BLD-2014-1506 Sewer ReversalCommunity Development Permit Center 11703 E Sprague Ave, Suite 8-3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (509) 688-0037 Plumbing Permit Application 0 Commercial 0 Residential SITE ADDRESS: /7-3 07 E /Vi it— Project # ' (506 RECEIVED JUN 2 6 2014 ir gV PERMIT CENTER Er FEE: SUR / I u / — Signature CURRENT FEES AVAILABLE AT: http://www.sookanevallmr.orof under the quick links for Forms, Master Fee Schedule. Buildirig Owner Name: - Phone: Fax: Address: City: State: Zip: Contractdr Name:Phone: 97!/_S 7a Fax: Piaci,/ COH571r4ec/27704-1 Address: /89,02 c 2 LL✓8_ city: $l/L„Cl2 ke//- State: jr/AL Zip: 940/.6 License No: City Business Lic: Contact/Project Manager: Name: Phone: # UNITS FIXTURE ON A TRAP PLUMBING TOILETS URINALS TUBS trap) SHOWERS (per SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat . DISHWASHER WASHER CLOTHES DISPOSAL GARBAGE WATERSOFTNER • Area Case Coil Trench Condensate FLOOR DRAIN DRAINS ROOF DRAIN/OVERFLOW DRINKING FOUNTAIN, WASTE Installation, Alterations, Repair, Reversals F WATER PIPING/DRAIN-IN Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler WATER USING DEVICE DISPOSAL SYSTEM PRIVATE SEWAGE If Gas See Mechanical WATER HEATER INDUSTRIAL WASTE PRETREATEMENT Including traps, vents except kitchen type grease Interceptors functioning as fixture traps INCEPTORS ALTERATION Water piping drainage or vent piping REPAIR OR VACUUM BREAKER ATMOSPHERIC TYPE FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers BACK GAS MEDICAL INCEPTORS Signature CURRENT FEES AVAILABLE AT: http://www.sookanevallmr.orof under the quick links for Forms, Master Fee Schedule.