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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.