2014, 05-19 Permit App: BLD-2014-1113 Plumbing Reversal Permit Center
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, °t s 11703E Sprague Ave, 920 B-3 ! ]� (t /. PERMIT ER
(509)6 a-0036 wA(509 6 Project #""',' `(` (((,
(509)6688-0036 FAX(509)68&-0037 . RECEIVED P
permitcenterftokanevallev.ore
CommnnrtyDevelopmet MAY 1 42014
Plumbing Permit Application ❑Co r rcial
aResidential
SITE ADDRESS: 30� A 4/ye)574;c S V P x'411 T C F N T FR
Building Owner
I
Name:
tee. Aee
Address: Sdt_e City: 5;40 !(Y � :��a
Contractor
Name: burr .FYI ti Fx . :crlG Phone: A�o' Aoc„ Fa g as- 5o1 a
Address: '7r► J E. �f.1++fir lYve Com': tf..v State: WA Zip: 990194
License No: L A R Ry Ih E e7 s,N.T City Bus Lic: /
Contact/Project Manager:
Name: Phone:
ff OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,U6Tdy,Janitor,Photo,X-ray,Food,
SINKS Prep/Cul ry 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 1/IC9 /y/h_ Installation,Alterations,Repair,Reversals 5e K/e►—
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 f xture 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
❑CASH ❑CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE
CURRENT FEES AVAILABLE AT:httpi/www.spokanevalley.orof under the quick rinks for Forms,Master Fee Schedule.