2009, 03-26 Permit App 09000748 Water Pipe ReversalPermit Center
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pOkaCle 11703 E Sprague Ave, Suite B-3
�,,.Svalley Spo: (509)kane Valley, WA (509)
99206
(509)688-0036 FAX688-0037
Community Development ermitcenter(,tspokanevallev.or2
Plumbing Permit Application ❑ Commercial
—, J i Ste.. l
SITE ADDRESS: <; {1 j'fl p{ t
PERMIT NUMBER:
PERMIT FEE:
idential
Building Owner /
l
Name: Phone:�4T, _ E - -6
6173
Fax:
Address: City: ," State: 1.4.-4 Zip: y
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Ma ager:
Name: Phone:
u1-M,'3M LJ UNtGK LJ VISA LI MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org//uploads/Operations_and_Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development\Building Division\Jodi-comm'I\PCF\DRAFT APPS\DRAFT plumbing APP.doc
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Prep/CulinaryMeat
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
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swampcooler
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 i in , drains a or vent i in
ATMOSPHERIC TYPE VACUUM
BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
u1-M,'3M LJ UNtGK LJ VISA LI MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org//uploads/Operations_and_Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development\Building Division\Jodi-comm'I\PCF\DRAFT APPS\DRAFT plumbing APP.doc