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1992, 12-04 Permit App: 92010722 Mechanical FixturesL- lc( 1 "1a, U l 6 "( MECHANICAL PERMIT APPLICATION FORM 0-k\ I A bceRvacres Information Worksheet / SOB STREET ADDRESS: E V t9I`t . (��D n0_, 149U CITY/STATE/ZIP: 1C-ct rut w A- PARCEL NUMBER: OWNER: kQ-rr. F /Xi It K. PHONE NUMBER: 901! p 9,-O MAILING ADDRESS: SC ".9 -- (Street) (City/State) (Zip) CONTRACTOR: Ripley's Plumbing, Inc. LICENSE NUMBER: RIPLEPI107B6 PHONE NUMBER: 509-535-1919 MAILING ADDRESS: 4104 E Pratt Spokane, WA 99202 012, Io111-tLi 2Z Date: (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOG0STOVE/INSERT>:: <•':>>`' GAS WATER HEATER OASEQUIPMENTt;. GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOIEEPOPEFRIOIVIESVOtt) ............ .:. i R:xr.Ktv:.i:::•: r:.v:....:: r::::v. v:::::: ih BOILER/REFRIG 501-1,000M BTU `BOILERIREFRIG`>1?,0001 7 750M t3T( BOILER/REFRIG +1,750M BTU HEAT PUm.p.voP`CONDIIfONER:0-3<TONS ;>'= HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP:;& AI.R:CONDITIONER 1:5-30 TON5: HEAT PUMP & AIR CONDITIONER 30-50 TONS HEATPllMPAtR:CONQ.ITIONER +50::70 VENTILATING FANS EYA FIATIV COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD CLOTHES DRYER :............ RANGEI GAS LOG SMC...::. .. ..: ::...:....:::.:::.�. -�►... .��<:::»�>:><:>�::<: UNLISTED GAS APPUANCE <400,000 BTU >U INST GAS`AP .. r USED APPLIANCE <400,000 BT AIR HANDLER <10,000 CFM (-iCWrjp<'-i NOTE: MINIMUM PERMIT FEE IS 35.00 SIGNATURE (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x25.00 = x10.00= 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 = x50.00=. x100.00 = x 12.00 = x 15.00 = I tb - • (p SUBTOTAL $ t 1 .pa PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ yI, Da Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 b P •7 -" PLUMBING PERM !APPLICATION FORM "' Date: Information Worksheet JOB STREET ADDRESS: - EY*00Z-- CITY/STATE/ZIP: 42eptec4t51-- 104- PARCEL NUMBER: OWNER: RQ r t Fie( 01-C_ PHONE NUMBER: MAILING ADDRESS: 092-0 (Street) (City/State) (Zip) CONTRACTOR: Ripley's Plumbing, Inc' LICENSE NUMBER: RIPLEPI107B6 509-535-1919 PHONE NUMBER: MAILING ADDRESS: 4104 E Pratt • Spokane, WA (Street) - (City/State) 99202 (7lP) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION TOILETS SHOWERS ....:-:-:-A-AA.:•:•:•:*:•:.:AoAox.AA A KITCHEN SINKS GARBAGE DISPOS'Art•'.71t4-:-:-:-, UTILITYSINKS---- ELE• . . •*••.• GT FLOOR DRAINS—. •:•••,„ , .SIMW1.7 BAR S I N WOOPD•RA- • A /3:2K,Et.3r LAWN SPRINKLER .4" WATER SOFTENER •• • --,•••••- • . URINAL DRINKING FOUNTAIN V '1 NOTE MINIMUM PERMIT FEE IS $35.00 ^ • ; • Tr,:y.: 'NUMBER OF UNITS X EACH UNIT • = AMOUNT.:‘,„ x 6.00 = x 6.00 = x6.000 == 6.0 x 6.00 =;,,. : x 6.00: =,...... 'X6100-,:--.•,:::::-.' x 6.00 ,=.-4",.;4.-. x 6.00C;4 ' -. x 6.00 = 1,,:... x 6.00 = :::. x 6.00 =-5'; '..',1. . . x 6.00 =,.,t6; x 6.00 = ' '' :. x 6.00 = - -x6.00 =: •-• x 6.00 = x 6.00 = • • . x 6.00 = .- '.-x ,.,_ ,,,,,,;,i...;.: ,,,,,,,,,,Liwz, .4-f',';',;i.",zsiziti,A;*, ;,.z:,..;. -,-,=..r.,.. -:;:ii,;., ....,4;.:..,.. 4-4--ri,,-ifx;-`: c.44472,1•74-. ' ...-..-----'''.,: • • •-•'-:?:Y: :,-.- ':;', „!,'..4‘ ; - •:: 7-,..-.16:!!, :::4',.4 "';,, • : • e il'!';'":''' 7. ' ,'''''• - -'. l'Ar4,74:Skr-fr 7'04,1',)'.404-414W. '*, '4,-,V,ifF•;,,t,--.014140). . . 4. • •• -:-:,4'..7,7.1.tiil-,',4,71-W4 ..;.,..1"f..c4..r!i ,,..,,,-.:*:.:,..!::.:1: •,,,- -4.'4; ,.....4,, - - 4 -: ,?:', • - - . SUBTOTAL--. , • PLUSfPROCESSING-FEE • •'!..t'''' -i: $''''':':•c.'"7•'"` 26:00 '' • EQUALS: TOTAL PERMIT - FEE DUE : • - . = s Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675