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2014, 06-06 Permit App: BLD-2014-1307 Sewer ReversalS��ka"eValley. 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 ❑ Commercial 0 Residential SITE ADDRESS: 6 ?C ' 'J )00 64 (t— Project 'c ' j 1 D - RECEIVED 4, , JUN 0 6 2014 CSV PER^/ T TFER SUB ! / REV. Building Owner Name: Phone: Fax: Address: Vf rl)d 4) 63 0 fe/i City: State: Zip: Contractor Name: e / / 4014 ) . r Phone: Fax: ,�j Address: F• 2`J (4.c, 4,1 //-6„-iVr City: State: Zip: _I 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 cooter 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 1Z7 nj Signature e CURRENT FEES AVAILABLE AT: htto://www.sookanevallev.orq/ under the quick links for Forms, Master Fee Schedule.