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1990, 11-13 Permit: 90006104 Application gas Water Heater & PipingMECHANICAL PERMIT APYL:C ::Tirol FORM Information Worksheet JOB STREET ADDRESS: E. 8003 Alki CITY /STATE /ZIP: Spokane, WA. 99212 PARCEL NUMBER: / 543 _ --) OWNER: Wy l e y Q / "PAv.vr .. PHONE NUMBER: MAILING ADDRESS: Same (Street) (City /State) (Zip) CONTRACTOR: Steinmetz Heating & A/C LICENSE NUMBER: STEINHA147KF PHONE NUMBER: 922 -2034 MAILING ADDRESS: 2206 N. Pines Rd. (Street) Spokane, WA. (City /State) 99216 (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM WOODSTOVE /INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PIING (5 OR MORE. EACH:) REFRIG 1 -100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101 -500M BTU REFRIG 501- 1,000M BTU REFRIG 1,001- 1,750M BTU REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0 -3 TONS HEAT PUMP & AIR CONDITIONER 3 -15 TONS _ HEAT PUMP & AIR CONDITIONER 15 -30 TONS _ HEAT PUMP & AIR CONDITIONER 30 -50 TONS _ HEAT PUMP & AIR CONDITIONER +50 TONS VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE TT HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) _ UNLISTED GAS APPLIANCE <400,000 BTU_ UNLISTED GAS APPLIANCE >400,000 BTU_ USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM x$10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 4.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 x100.00 = x 12.00 = x 15.00 = 10.00 12.00 ^.00 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE SUBTOTAL $ 26 .00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ 5 1.00 Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456 -3675 JOB STREET ADDRESS: PLUMBING PERMIT APPLICATION FORM Information Works2'eet CITY /STATE /ZIP: PARCEL NUMBER: OWNER: MAILING ADDRESS: CONTRACTOR: MAILING ADDRESS: PHONE NUMBER: (Street) (City /State) (Zip) LICENSE NUMBER: PHONE NUMBER: (Street) (City /State) (Zip) PLUMBING WORKSHEET /FEE SCHEDULE DESCRIPTION NUMBER OF FIXTURES X EACH FIXTURE = AMOUNT TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN x $6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456 -3675 SPECIAL CONDITION CHECKLIST Project Address: Project # Use Dept: Dept. of Bldgs. Engineer's Planning Utilities Other Date: Condition: Special Insp. Final Report Hydrant ( ) Lock Box RID /CRP Easements Road Plans /Improvements - Bonds Bonds Double Plumbing ULID A i t.1 ktiti Init: (in) Appr: (out) * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** Date received for C/O processing: Plans pulled for final processing. Temporary C/O issued. Certificate of Occupancy issued. Office file review by: Date: Filed insp finaled by: Date: Ninety days tfter C/O issuance: Ownerrontractor called regarding the return of plans: Date. Plans retrned: Received by: No respore from owner /contractor - plans destroyed: SITE ADDRESS: E 8003 ALKI AVE PROJECT NUMBER: 90006104 PERMIT TYPES: ME • PERMIT USE: INSTALL GAS WATER HEATER / HEATING EQUIPMENT k. GAS PIPING DESCRIPTION INSPECTOR DATE RESULT VOIDED/EXPIRED VISSIA, RANDY 05/03/91 APPRCVED