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2014, 11-04 Permit App: BLD-2014-2684 Sewer Reversal
Community Development • 1; ' �a0 11+ Permit Center Project S o ane11703E Sprague Ave,Suite B-3 RECEIVED Walley. Spokane Valley,WA 99206 PHONE: (509)720-5240 FAX: (509)688-0037 ' NOV 0 LI 2014 SV PERMIT CENT PERMIT FEE: Plumbing Permit Application ❑Commercial 0 Residenti SITE ADDRESS: I7"7��" �. / av‘A%e SUB # 1 ' LiII Building Owner /t1 erV Name: AAevV Phone: 7a3— ;yipFax: Address: 1)./401. I1- c'4i City: 4pc ,e-Vckney State: Li\),.4_ Zip: Tgo37 Contractor Name: Phone: Fax: GYIriS Fofsa� Ccw ��o� �7q'3 q�{ Address: /-0).. Lloo\iV v Y City: 7Do/0.17,✓ Vo`\e_jf State: W A Zip: 77,37 License No: City Business Lie: 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 11 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 FEES AVAILABLE AT:http://www.spokanevallev.orci/under the quick links for Forms,Master Fee Schedule.