1989, 11-08 Permit App: 89004581 FurnaceJOB STREET ADDRE :
CITY/STATE/ZIP:
OWNER:
MECHANICAL PERMiI APPLICATION FORM Cloii6'-7
Informat'on W•rkshe-t
y5 -
I
t(/A 9O/4 PARCEL NUMBER:
/(S•` eet)
CONTRACTOR: /p(
MAILING
ADDRESS:
(Street)
PHONE NUMBER : t�6 - S 3 413 1!SJ -j0/f
MAILING ADDRESS: S• aR 3lee
4
zV4 97a/4
�.I. (City/State) /''/ (Zip)
LICENSE NUMBER: 44`(QcM/J /93'V/
PHONE NUMBER: 90,1T --,c9-700/
7J, - CO 99a/j
City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
Nr'MEE£, X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PI?ING (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 &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
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
1
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
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
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE •,L(ti 4Abiiy?
Spokane ounty Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
PLUS: PROCESSING FEE
$1.3
dJ�
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ g 0
JOB STREET ADDRE
CITY/STATE/ZIP:
OWNER:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
1
o PARCEL NUMBER:
yki
MAILING ADDRESS: Cj Qa.75 I�
(Street)(S/
CONTRACTOR: ( — f1" / 4 1
i
PHO E
�/
/ a;
soy
MAILING ADDRESS':
raj/o
rn- 334'3,,
Latir ' �t c. /'4
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
unic
1/3-37._3 0/ y
99.°//
(Zip)
3/(l
las
,O
,�
City/State)
/alb
(Z
NOTE:
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
PnnF 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 =
MINIMUM PERMIT FEE IS $35.00
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
SIGNATURE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9-9260 (509) 456-3675