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1993, 08-24 Permit App: 93007433 Pool Heater, PipingPROJECT NUMBER= 93007433 APPLICATION DATE= 08/24/93 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---------------------------------------------------------------------------- SITE STREET= 19021 E NIXON AVE ADDRESS= GREENACRES WA 99016 PARCEL#= 55173.1613 PERMIT USE= SWIMMING POOL, FURNACE, & PIPING PLAT#= 001092 PLAT NAME= GUTHRIE'S VALLEY VIEW 05TH ADD BLOCK= 6 LOT= 13 ZONE= AGSUB DIST#= G AREA= 00000000 F/A= F WIDTH= 75 DEPTH= 150 R/W= 50 # OF BLDGS= 2 # DWELLINGS= 1 WATER DIST = OWNER= BECK, RANDY PHONE= 509 922 1841 STREET= 19021 E NIXON AVE ADDRESS= GREENACRES WA 99016 CONTACT NAME= KERRY HENDERSON PHONE NUMBER= 509 928 6585 BUILDING SETBACKS: FRONT= NA LEFT= 10+ RIGHT= 22+ REAR= 10 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT ---------- --------------------------------------- ' SITE PLAN REVIEW HEALTHDIST COMMENTS: ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= POOL WORLD INC PHONE= 509 928 6585 STREET= 13524 E SPRAGUE AVE ADDRESS= SPOKANE WA 99216 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- ---------- GAS APPLIANCE >100,000BTU 1 15.00 GAS PIPING 1 1.00 ***************************** SWIMMING POOL CONTRACTOR= POOL WORLD INC PHONE= 509 928 6585 STREET= 13524 E SPRAGUE AVE ADDRESS= SPOKANE WA 99216 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- ---------- PRIVATE POOL Y 50.00 STATE SURCHARGE Y 4.50 COUNTY SURCHARGE Y 9.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING ----------------------------------------------------- PROJECT NUMBER= 93007433 APPLICATION DATE= 08/24/93 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING ----------------------------------------------------- MECHANICAL PRMT 16.00 .00 16.00 SWIMMING POOL 63.50 .00 63.50 ------------- ------------ ------------- 79.50 .00 79.50 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO ******************************** THANK YOU ************************************ Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: (O C l C CITY/STATE/ZIP: - l/U l v�! !� SUBDIVISION: BLOCK: LOT:�ZONE: DISTRICT: LOT AREA: • F --/A: WIDTH: DEPTH: R/W: f OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: PHONE: ,S-Oel - moi Z Z - MAILING ADDRESS. CITY/ STATE/ ZIP: •.G l L� (�f/� G `� CONTACT: PHONE: r SETBACKS: - FRONT: 3aLEFT:_ RIGHT: REAR: PERMIT USE: BUILDING INFORMATION CONTRACTOR E+ • t: E• CONTRACTOR: MAILING ADDRESS: r--- ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: ,Sp q - q?, e _6 S8 C' PHONE: - NEW: REMODEL: ADDITION: CHANGE OF USE: w� DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: if HANDICAP: SPRINKLERED: CRITICAL MATERIAL: MECHANICAL PERMIT APPLICATION FORM Information Worksheet r JOB STREET ADDRESS: %� Z e5- -, CITY/STATE/ZIP: ae4 (JA-,gi TOil PARCEL NUMBER: OWNER: &" PHONE NUMBER: MAILING ADDRESS: /9 -OZ/ (Street) (City/State) (Zip) CONTRACTOR: C LICENSE NUMBER:O_ PHONE NUMBER: MAILING ADDRESS: /-?s�q- a,( -e 4��� �10�1- 9-9M4 (Street) (City/State) - (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) GAS WATER HEATER Y-':.ii\nv.;?w::.y :"^'•}wn,:tiK'.0^N: •in:W-0^tlJ:.,,,w :v.;{nvvn�,,;•S::ryy:: M'r v{iiy �':i::�%'}v L:�:� GAS EQUIPMENT +100,000 BTU .,,,:y.,'•re:•,....y.:..,,w,Y..�...�::s..v+aw+••�•::�nae�•.;}}�,,:�:. •.;:6i?o::,?r.:: "�'":,i:%34i.'ie : �� :. }. ,f.�:>r: "• .�"' '.•itir�Y:vel%'{'.:�i:-::iyii>�Y'.-_ BOILER/REFRIG 1-100M BTU :...;::nom ............... .:. v: -.:....; :.........:.... �::::.............................:...............:v. BOILER/REFRIG 501-1,000M BTU VENTILATING FANS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) .,.;.yo•,y.. ...y y-. .,{. `'•y>":x :tsY san;., �4�,6•:'7;�% r�'2`•:'y::;>:;r:i•;::s.:S:?;`.::::::x: ••:::.:-:: '•.y:::yo y. ''; :aLjk. :1'yrl9•,:Fv... •> a••,fr-.• k.}.;;:.4F..i.,'.:J::::;:,if:�':::::::;.•`y:•.:.. CLOTHES DRYER ...........:. GAS LOG �•.CSC xM•:.:::n•:q•.\xMx;:::.,-my,rb•3�•.,:nfi.^,vw,•ti.W„x,}vnv::.w:.wM:.,u,w.vw.vypn,, xxxny:.•::: w::,n�• .•{: ;: - .t�.:t, :a..,tb. ,. . •.a:.ab ...w.. •• •.;,\,i .o�...wc;,,,,,,•::: h:,•h,:xn::•.o: .a:.•::.:i:2..,:6:X.b.,, UNLISTED GAS APPLIANCE <400,000 BTU USED APPLIANCE <400,000 BTU <1j.�,�t.�:;:A�A�•1.VC�.��4. t�f; .��#T;I���•�:��;h.�h� .�'� �: �;:,: N: ri,v:' :C}: «wtfr. kv:::v.�CC3J V:,J:r' {:.v'L, S4. •:W by n�,•��-�•{�•. r: AIR HANDLER <10,000 CFM10§ Asms,ZE NOTE: MINIMUM PE MIT FEE IS $35.00 SIGNATURE �OW4 Spokane 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 1S% 6 _ d SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 EQUALS: TOTAL PERMIT FEE DUE //�� = $ �f County Division of Buildings Wact 1'10'A Rrntariwav Avani m Cnnkana WA QC19An 0(191 45R-3875 DEPARTMENT OF LAE °^FTJi1S CERTIFIES THAT THE•PERSC+N NAMED HERI d,: .. r t DATE bw-W511 A14 -2,W94 WA 40927