1990, 11-28 Permit App: 90006429 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 fir OAC VAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said perm it/application is true
and correct, and authorize Spokane County to proceed with processing. Al 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 Iaw 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
PROUECT NUMBER- 90006429
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SITE 7E?
PERMIT USE=
1� F.
:ii: OF BLD,„
f'1 ri 14
GAS LOG & PIPING
006 ( _. PLAT NAME= i<.i-t11ONA
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OWNER= 7—
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(RIP:
1 05
JUL
PHONE- 509 534 65)2
PHONF NUMIER= 509 535 )737
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.EM DESCRIPTION
PHONE,:,
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PAYMENT DATE
TOTAL DUE -
.00 HJIAL.
PAYMENT AMOUNT
.
36.00
PERMIT
,II liP:FEE C"
it 1 AMOUNT tl' } `":rAMOUNT } . OWING
. � :
-
MECHANICAL PRMT
7,6.nn 00
36.00 36.00 .00
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SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use.
Dept:
Dept. of Bldgs.
Engineer's
Date: Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Planning Bonds
Utilities Double Plumbing
ULID
Other
Init: Appr:
(in) 1 (out)
*******************************THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued Certificate of Occupancy issued
Office file review by: Date:
Filed insp finaled by: Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date
Plans returned: Received by'
No response from owner/contractor - plans destroyed:
JOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER:
MAILING ADDRES-6:
MECHANICAL PERMIT APPLICATION FORM
In ormation Worksheet
/3% kajuin
)eapti, 144/47K'9Q3 PARCEL NUMBER:
Vvoi:rra 3
/ //JO 0
PHONE NUMBER:
1 31 q car/ cU
(Street)
;3 1 65/ q
u1/( ,74- "3-
,(City/State) (Zip)
CONTRACTOR: %(Q,(r��p Podads LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS: (/ 1;o5 '
(Street)
takk In(4 w 2O
City/State) (Zip)
atimiimismoommstosomti
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UTNIT
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU.
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET)
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 &' AIR CONDITIONER0-3 TONS_
HEAT PUMP &
HEAT •PUMP . &
HEAT PUMP &
HEAT PUMP &
VENTILATING
EVAPORATIVE
TYPE I HOOD
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
'3-15: TONS ;
15-30 TONS
30-50 TONS -
+50 TONS
ONS.+50TONS
COOLERS
(PER 12' OR 12' PTN. OF HOOD)
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
= 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`::12.0C.
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 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
et
10.:0D
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
$ it w
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675