1992, 07-17 Permit App: 92005456 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
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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 =
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/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