2014, 07-10 Permit App: BLD-2014-1637 Sewer Reversal Community Development
Permit Center
11703 E Sprague Ave,Suite B-3
4• SpokaneValley,WA
99206
PHONE:HONE: (509)720-524040
FAX: (509)688-0037
PERMIT FEE:
Plumbing Permit Application ❑ Commercial fjResidential
SITE ADDRESS: `, c)(Lttl C'Jul(LAY' Q' < ` po VC1LV63 ricao
Building Owner
Name: BC) 150V Phone: Syj m/ l7m O Fax:
Address: .2 ZED Lai C iO Dr- City: EO 7t.Z \jaaiState: \J Y Zip: GI CT Ol.
Contractor J
Name: 90 LLt Cbv1 ,uz_:--1 60 t Phone: g 7 Fax:
Address: 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)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS 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
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS }'
Signature Tf i7I
CURRENT FEES AVAILABLE AT: httD://www.sookanevallev.oro/under t e diRIroftjIQt4`Ci far Pnrm ,Master-Ee Sclaer+i+Je
RECEIVED
JUL 10 2014
CSV PERMIT CENTER
SUB # 1 R _V. '