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1992, 09-01 Permit: 92007074 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 I certify that I have examined this perm it/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE PROJECT NUMBER= 9200 'Pi$"!l"R'R'A'di"H"It'jl'1: 'a ISSUED TERM.... 9 .92 , {.,�,�t.l[:D PERMIT DATE= {,,:r"y1.,.:.. r!..r. ri'jr:ic* PERMIT INFORMATION **** SITE STREET,..- 'i .]x11 A.'. i= CATALDO AVE ADDRESS= SPOKANE WA 99216 PERMIT USE= INSTALL HEATING EQUIPMENT PLAT::::_ BLOCK= AREA= OF 731 t)GS== 0011 091 1k PARCEL@ 4'5151 0616 PLAT NAME= GUTI-IRIE:' S VAL..i...Ei:Y VIEW 04TH ADD LOT= '� ZONE= f=iGR:i. D:iST:rr'-.. F A_ I-. WIDTH= DEPTH:= ;I: DWELLINGS=:: WATER DIST =- OWNER== CL_ARDY, W. G, .;T1iE:E:'T'= 13412 E CAT AI...DO :DJF{E_SS=: SPOKANE WA 99216 INTACT NAME= NORCO HEATING PHONE=:: 509 924 4975 1' *). )iji'ji d+:'ii ii 'l* PHONE NUMBER= 509 534 i... S).1. id 1:r SETBACKS: FRONT= NA LEFT= NA RIGHT== NA REAR:::: NA ..............A .. .. P :rr:�Pm:9f.p:.y:.p:A..hdi:)i'ji'jtd{'ii'jtii'ji'ui'liali'9i'ji'3i'd@'A'di'dk'lt"k' hl L'.(..I"IHN].�.AL.. I"'LFI r1l: f.>i..ii.u.;i'u'?i'di.ri..u.;i'ji'**�:� ;i. 497S CONTRACTOR= NORCO HEATING & AIR COND INC PHONE: 509 53.4 4975 STREET=: 5103 F TRENT AVE ADDRESS= SPOKANE WA 44212 11I::•1 DESCRIPTION QUANTITY FEE AMOUNT PROCESSING FEE 25,00 GAS HTG E-::p1,ri'i100,0o0:%+T(.1 'i 12.00 :;t;S PIPING 1 1,00 i jE jE i6 ii':,f d:')i jt 'ii' ji'di'i6F9iI.ISU"'Feirvssorm'rer adYidj-a a.#. .;. .. .* .. re PAYMENT DATE 09/0i/92 TOTAL DUE= PER i'•iIT T'Y'PE ME_CHAi'1T:C;AL i'RMT F:; RECEIPT : PA'ri.1F:NT AMOUNT 7194 38,00 AO TOTAL.. PAID:::: 38,00 FEE AMOUNT AMOUNT I:>A]:1) AMOUNT OWING; 3€ ,00 3F3,00 ,00 30,00 ..,C'3.,T;;l,.i ,00 JOHN LARSON JOHN LARSCON di' ilirli 1, YCI. a" di';i' -0i� di..)ihi �ii' 9i� iF ii. or:.,r; .p: 9; .p.:�i� d[� ii� �ii' �)i� di..)i' �ii' 3i' ih di. .. it a i(' ii' ii' * .11' ii' bi. di..#..li, rye oi. MECHANICAL PERMIT APPLICATION FORM lofor,fation Worksheet JOB STREET ADDRESS: X W7,2 £ C fQiz)//9 CITY/STATE/Z/IIP,,:/ (). /pe 99 UJ7( OWNER: . C- e./7 4,4(� MAILING ADDRESS: file CONTRACTOR' /OnAlccrtir MAILING ADDRESS: (Street) PARCEL NUMBER: c PHONE NUMBER: 1,W (City/State) (Zip) LICENSE NUMBER: APR00//f7/%n/rZ- PHONE NUMBER:�53V /v /J4 Y /2 DESCRIPTION (Street) City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENT <100,000'B'TU (INCLUDES GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 101-500MBTU BOILER/REFRIG 501-1,000M BTU BOILER/R EFRIG 1,0001 1,750M BTU BOILER/REFRIG +1,750M BTU HEAT+IEAr PUMPI&AIROONDITIONER.SIONSig HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIRCONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER +50 TONS :.1 VENTILATING FANS !EMAPORATIVEOOOLERSL._.._ TYPE I HOOD (PER 12OR 12' PTN. TYPE II HOOD CLOTHES DRYER RANGE GAS LOG ::.::............... MISCELLANEOUSINOttOVEREMELSEWHEOEM UNLISTED GAS APPLIANCE <400,000 BTU • ULINSTED GAS APPLIANCE>400,000;BTU USED APPLIANCE <400,000 BTU USED APPLIANCE>400,000;BTU AIR HANDLER <10,000 CFM AIR HANDLER >10000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 (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 = 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 = x10.00 = x 10.00 = x 10.00 = x 10.00 = x10.00= x solbo = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = 4.2. CC) 7_ {tel . SUBTOTAL $ 2.-3 (C) PLUS: PROCESSING FEE + $ 25.00 EQUALS* TOTAL PERMIT FEE DUE �%� = $ rj SIGNATURE (Cif,- PA -L/2 - Spokane " A- `/2 -Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675