Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1991, 04-03 Permit App: 91001558 Mechanical, Plumbing Fixtures
JOB STREET ADDRESS: MECHANICAL PERMIT APPLICATION FORM ye? 9 Z" g'e �� /� Pei /412/2 Information Worksheet e 84,2 CITY/STATE/ZIP:S Jf2it/-€ PARCEL NUMBER: OWNER: c)vD�\/ Cec,., /'a Ye /1 MAILING ADDRESS: ciikn.vr �e / (Street) /% (City/State) n (rp) "� As Sev vic° b grafiP LICENSE NUMBER: ,4/ Crn,S$g,00 ek PHONE NUMBER: a/7 Z- - ,370 C7 MAILING ADDRESS: CONTRACTOR: PHONE NUMBER: 92 i, -?70 / (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOQBSTOVE/INSERT GAS WATER HEATER .GAS.EQUIPMENT <i00,000 BTU (INCLUDES _ .. GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING.(EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 101-5OOM BTU!. BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1,000] 1 750M'BTLJ BOILER/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 .2 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 II HOOD,.., CLOTHES DRYER .................... RANGE._; GAS LOG ,MISCELLANEOUS (NOTCO.VERED ELSEWHERE; UNLISTED GAS APPLIANCE <400,000 BTU voNgwpAsh.p.RpmegiolopIsThai USED APPLIANCE <400,000 BTU :USED APPI..IANCE-E40,0,000 BTU AIR HANDLER <10,000 CFM AIRHANDLER >10,000CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x25.00 = x 10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 _ • x35.00 = x60.00 = x 12.00 = x20.00 = 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 = x10.00 = x10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 x 12.00 = 217 / alit / 2 3 / 40,e4-0 x15.00 = SUBTOTAL $ 2�,da PLUS: PROCESSING FEE : + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ ST, c90 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 JOB STREET ADDRESS: PLUMBING PERMIT APPLICATION FORM ---Information Worksheet (AJ fl ,,9rcoc XcO.. A CITY/STATE/ZIP: CN`nlEv Li 4 9900y PARCEL NUMBER: /%`-A3 - 90 3 F OWNER: /14 gad %L /,14T2xf PHONE NUMBER: Y.TE-`16sy MAILING ADDRESS: L1 Eta T97L.( 2.• floc (Street) (City/Stat 61 (Zip) LICENSE NUMBER: CONTRACTOR: 6 (�) N Pee- MAILING 2 MAILING ADDRESS: Slat[ PHONE NUMBER: (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION TOILETS SINKS SHOWERS BATH TUBS;;; KITCHEN SINKS DISH WASHERS S GARBAGE DISPOSAL CLOTHES WASHER: ................................... ...................................... UTILITY SINKS ..................................... ELECTRIC WATER HEATERS€ FLOOR DRAINS F..LOOR'SINKS BAR SINKS ROOF..DRAINS:,],'. LAWN SPRINKLER EWAGE,EJEOT.ORiiii R WATER SOFTENER URINAL DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE QA -441 NUMBER OF UNITS X EACH UNIT = AMOUNT - MOUNT/ / x6.00 = x6.00= x6.00 = x 6.00 = x6.00 = x6.00 = x6.00 = •. x6.00 = x6.00 = X 6.00 = X 6.00 = x 6.00 = x 6.00 = x 6.00 = x6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = 6. 00 / K,00 / - 6 ad -. 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