2014, 09-10 Permit App: BLD-2014-2166 Sewer Reversal Community Development
,'�,„ Permit CenterSra • 1tJ7
Sok11703 E Sprague Ave,Suite B-3 p�(J Q'�{
p Spokane Valley,WA 99206
j Valley` PHONE: (509)720-5240
FAX: (509)688-0037
PERMIT
Plumbing Permit Application 0 Commercial residential
01-SITE ADDRESS: 73 0-_ 7� ,�ve
Building Owner
Name: / /e Phone: -72 —�31 G Fax:
SJ 1° 1,.. ��f f /44 City: -!x/3.21 �`�State: WA Zip:9%7/5/
Address: �� f T o r
Contractor /�
Name: L ti W N /(t'r Phone: G,1 G"— /2"' Fax: r.2,2 — 3--es a
``1 rT City: � ,F K ` w-1Zip:
Address: � � p E. 6 State: G
� !( 7 F �`'� �/r�' /9�c City Busil3ess Lic: r
License No: 4 4 H H m e g 7R/v�
Contact/Project Manage
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,Repai, eversals� 7 `c e p
- 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
CURRENT AVAILA:EAT: p://w.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.