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2014, 05-22 Permit App: BLD-2014-1153 Plumbing Reversal
Community Development ,� veS-- 3/ z- //1 r , Permit Center S�okal 11703 E Sprague Ave,Suite B-3 / 0 i�- J L/ �3 Spokane Valley,WA 99206 G �sVa�ley° PHONE: (509)720-5240 FAX: (509)688-0037 PERMIT FEE: Plumbing Permit Application 0 Commercial Residential SITE ADDRESS:. -,S17 r /oh A U S Building Owner (e ' che C- , & e© A- O 1 A N Fin Name: Lc.44 e,(2,_, G. a C , A(�P e: Fax: Address 3 1 7 E i LI+h VU c City: moi'n f) 1 T . C State: W A Zip: qq a 3 Contractor N/ 4- K Ec r.k v\‘,./oC K$ Name: er. eiPhone:'Oj 7_ g c k 70.OFax: 6Address: i o)-7 12:2,a ,LY\ City:spo Kota-) State: Li A Zip: Q' 1 6 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 if 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 k l — y),..0,3 CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orcd under the quick links for Forms,Master Fee Schedule.