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1992, 07-17 Permit App: 92005456 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM q,bukrr /k(0 vre. e& 4L7`�/ JOB STREET ADDRESS: 2 '/6, 5 CITY /STATE/ZIP: /0A/c4! GOct cif -2/4 PARCEL NUMBER:_ / / OWNER: U QlA'e.1GC /- PHONE NUMBER: MAILING ADDRESS: -2$r(. S 411 .7c,7 5, ,,Q,1c- (Street) (City /State) CONTRACTOR: /?//4- LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Zip) Information Worksheet 4 /0.7 92/---9 CUq (Street) (City /State) MECHANICAL WORKSHEET /FEE SCHEDULE DESCRIPTION ELECTRIC /DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSE. GAS WATER HEATER EQUIPMENT <iQO,0 BTU (INCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTL> =T) ... . BOILER/REFRIG 1 -100M BTU BOILER/REFRIG 101 .,5 0M OE BOILER/REFRIG 501- 1,000M BTU BODE FREFRIG 1,0001.:1,750M BTU BOILER/REFRIG +1,750M BTU ....... ............................... r. I DITION;EF. :::... ::...:..:....::.:..:.::...:.:.. HEAT PUMP & AIR CONDITIONER 3 -15 TONS HEAT;PUMP & AIR CO.NDITIONER5` ..........EAT .......... HEAT & AIR CONDITIONER 30 -50 TONS DITIONEI +50 TO VENTILATING FANS EVAPORATIVECOOLEF TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE1 HOOD: .:::.:..::... . CLOTHES DRYER .............. RAN( GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHEI UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE >4 USED APPLIANCE <400,000 BTU USEDAPPLIANCE ,000 B` AIR HANDLER <10,000 CFM ;IF HANDLER 710,000 CFM B' NOTE: MINIMUM PERMIT FEE IS $35.00 NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = ( x 10.00 = x12.00 = 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 = Tv . oc, /2.Q0 oZ -F ,. oc..D ( /2 € :2 x 50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ 3 4o ` °= 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 PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GARBAGE DISPOSAL .CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS BAR SINKS LAWN SPRINKLER — FOR EACH BACKFLOW DEVICE SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT = AMOUNT x 6.00 = x6.00 = x 6.00 = x 6.00 = x 6.00 = x6.00 = x6.00 = x 6.00 = x6.00 = x 6.00 = x 6.00 = x6.00 = x6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x6.00 = 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 SITE A DRESS: S 2916 AVALON R.2 PROJECT NUMBER: 92005456 PERMIT TYPES: ME PERMIT USE: GAS FURNACE - WATER HEATER - AIR CONDITTO DESCRIPTION INSPECTOR GAS PIPING FURNACE COMBUSTION AIR GAS WATER HEATER VENTING ALL FINAL WILLIAM ZEHM WILLIAM ZEHM WILLIAM ZEHM WILLIAM ZEHM WILLIAM ZEHM WILLIAM ZEHM DATE 09/18/92 12/02/92 12/02/92 12/02/92 12/02/92 12/02/92 R - PIPING RESULT APPROVED APPROVED APPROVED APPROVED APPROVED APPROVED