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2014, 09-03 Permit App BLD-2014-2108 Sewer ReversalPermit SITE ADDRESS: f Community Development Permit Center 11703 E Sprague Ave, Suite 8=3 Spokane Valley, WA 99206 PHONE: (509) 720-5240 FAX: (5091666-0037 ❑ Commercial Project RECEIVED SEP 0 3 2014 owner Name: Phone:�� Fax City: State: 71p: Address: -�ILI Contractor Name:221 Phone: Fax �'rState: City zip: Address: Sm- v,e/ License No: CHy Business Lia Conta'cUProject Manager. Name: Phone: S UNITS PLUMBING FLYTURE ON A TRAP TOILETS URINALS TUBS SHOWERS trs Lav/Basins, Bar, Floorrhen, Laundry, Uh'kly, Janitor, Photo, X-ray, Food, SINKS Pre CulinEy Meal SHER SPOSAL MDRAIMOVERFLOW R N Area Case Col Ttench Condensate ERFLOW DRAINS FOUNTAIN DRINKING WATER PIPINGIDRAJN-IN WASTE . /� Installation Alterations R air Reversals WATER USING DEVICE Ice anoint Coffee maker hose bib steamer roofer carbonator svram Wolar PRNATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas Sea Mechanial INDUSTRIAL WASTE PRETREATEMENT tra exec t kitchen pegmleinte=PtomfunedoningasfixturatmPs INCEPTORS Indulin vents REPAIR OR ALTERATION Water piping, drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAKER j BACK FLOW PROTECTIVE DEVICE Other than atmospherletype vacuum breakers MEDICAL GAS INCEPTORS Signature CURRENT FEES AVAILABLE AT: http•Ifwvrw sookanevallev ora/ under the quick links for Forms, Master Fee Schedule.