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1992, 08-24 Permit Application: 92006771 Plumbing FixturesPLUMBING PI.RMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 1-1-19 AL AW & &S % CITY /STATE /ZIP: S POKAN E PARCEL NUMBER: OWNER: / &/ 4- &u.e-✓ GLI to -L-0E--) PHONE NUMBER: 9.28- 4 S g S MAILING ADDRESS: tom'.O lieL (5 5 (mooKaN 99A. S (Street) (City /State) (Zip) CONTRACTOR: 0 W Kt. E YZ LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City /State) (Zip) PLUMBING WORKSHEET /FEE SCHEDULE DESCRIPTION TOILETS ......................... ::.......:..:............. SHOWERS KITCHEN SINKS DISH WAS'HEI ..... ............................... .... ............................... GARBAGE DISPOSAL CLOTH. ES;WASHE : UTILITY SINKS ........ ............................... E[ ECTRIC WATER H FLOOR DRAINS FL OOR SINK .............................. ............................ BAR SINKS ................. S . ROOF DRAI........... N ......................... LAWN SPRINKLER - FOR EACH BACKFLOW DEVICE ......... ............................... SEWAGE EJECTC WATER SOFTENER ....................... URINAL DRINKING FOUNTAIN TEi NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE-9 NUMBER OF UNITS X EACH UNIT = AMOUNT / x 6.00 = x 6.00 = x 6.00 = x6.00 = x6.00 = 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 = / / / SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456 -3675 MECHANICAL PERMFT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY /STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Zip) (Street) (City /State) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Zip) (Street) (City /State) MECHANICAL WORKSHEET /FEE SCHEDULE DESCRIPTION ELECTRIC /DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/IN$...... GAS WATER HEATER AS EQUIPMENT < 00,000 RTU QNCLUDE GAS EQUIPMENT +100,000 BTU DUCTWORK) :AS PIPING (EA C BOILER/REFRIG 1 -100M BTU SO_ILEFT/I SFRIG 1 ....:..... BOILER/REFRIG 501- 1,000M BTU ILER /F EFRIG: :1:,0001 -y 750M. S'IC BOILER RREFRIG +1,750M BTU CONDITIONER HEAT PUMP & AIR CONDITIONER 3 -15 TONS y_. HEAT PUMP AIR CONDITIONER 1?5 HEAT PUMP & AIR CONDITIONER 30 -50 TONS HEAT PUMP & AIR CONDITIONER +50 T VENTILATING FANS "PORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) H CLOTHES DRYER :RANGE >» GAS LOG 1Er US N T COVE. ELSEWHEI UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE>400,! USED APPLIANCE <400,000 BTU L'ANI AIR HANDLER <10,000 CFM IR HANDLER 3' NOTE: MINIMUM PERMIT FEE IS $35.00 NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = 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 = SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456 -3675 SITE ADDRESS: N 4419 ADAMS RD PROJECT NUMBER: 92006771 PERMIT TYPES: PL PERMIT USE: TOILET, SINK, BATH TUB, E KITCHEN SINK DESCRIPTION INSPECTOR DATE RESULT FINAL "CHIP" ALLEN 08/31/92 APPROVED