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Home My WebLink About1992, 10-30 Permit App: 92009601 Pipingy533y, q05&ga- �pol MECHANICAL PERMIT APPLICATION FORM // /crJnformAtion Worksheet 5/ JOB STREET ADDRESS: St n90 i024 59 CITY/STATE/ZIP: SEO AA AA cc�4 99266 PARCEL NUMBER: OWNER: -Mr, Gt)ezil J/ -ray PHONE NUMBER: 9126 - Sid V.6 MAILING ADDRESS: uric qt� U CONTRACTOR: ata 01^ (i• LICENSE NUMBER: n'e b"gP� g/4B PHONE NUMBER: MAILING ADDRESS: //.27/,/a u- rt • QL_e(A)A pp 2O 5 (City (Citytate) (Zip)(Street) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENT <100,000BTU (INCLUDES.;..:: GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET BOILER/REFRIG 1-100M BTU BOILER/REFRIG i01! -500M BTU 1d BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1,0001. 1,750M BTU.; BOILER/REFRIG +1,750M BTU HEAT PUMP' & AIR CONDITIONER 0 3 TONS,_ HEAT PUMP & AIR CONDITIONER 3-15 TONS HEATPUMP & AIR CONDITIONER 15 30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP &(AIR CONDITION ER +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.(NOT COVERED ELS,EWH'` UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED:GAS APPLIANCE>400,000BTU USED APPLIANCE <400,000 BTU USED APPLIANCE> 00,000. BTU__:_', AIR HANDLER <10,000 CFM AIR HANDLER X10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.000 SIGNATURE "' (/ C�/N� Caj4 NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = 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 = x 50.00 = x100.00 = x 12.00 = x 15.00 = a SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 2 = $ 5, Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PLUMBING PERMIT APPLICATION FORM // // Inffo�ormation,,J��/ Worksheet JOB STREET ADDRESS: S T oo'z geit:y�-C CITY/STATE/ZIP: Sop,gLt)4 99 k PARCEL NUMBER: OWNER: -2V CnP &t iS-4nol 926 PHONE NUMBER: -yeK6, MAILING ADDRE S: ( reet) CONTRACTOR: 61u d.4.4-bavN. glan444.1-5 MAILING ADDRESS: /cal /VO -+.SA -4 af (Street) (City/State) LICENSE NUMBER: PHONE NUMBER: 1. (Cit tate) (Zip) MID B 3as36,6 6tiA- (Zip) DESCRIPTION TOILETS SI N.K.S,._;.;..; SHOWERS .................................... .................................... BATH TUBS r KITCHEN SINKS PLUMBING WORKSHEET/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT = AMOUNT DISH WASHERS.:,::::: CLOTHES WASHER ai ..........................:............................: UTILITY SINKS .............................................................................. .............................................................................. ELECTRIC' WATER:HEATERSi ............................................................................. FLOOR DRAINS FLOORKS SIN BAR SINKS .::.:::........:...._ .............................................. ............................................. ROOF. DRAINS...::: LAWN SPRINKLER - FOR EACH BACKFLOW DEVICE 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 = NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 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