1996, 02-27 Permit App: 96000948 Mechanical/Plumbing Fixtures MECHANICAL PEIZMIT APPLICATION
PROJECT ADDRESS:
OWNER: Din -5-i-t 2✓.k? (PHONE DAYTIME CONTACT 5:3'3"---S y-- "
MAILING ADDRESS: ,.?� �i _.5)2n J
l (street) (city/state) (ziP)
CONTRACTOR: YL t4 LICENSE:
y g PHONE: e7/1110
MAILING ADDRESS: ! o/( 2 1 Qyit(oL.1v4-'-,n , 7gz o
(street) (city/state) (zip)
# MULTI. COST
DESCRIPTION OF WORK OF UNITS LIED //UNIT EQUALS AMOUNT
.110i FUEL BURNING APPLIANCE =or <100,000 1 _ $12 - s i Z_
.B(}311 FUEL BURNING APPLIANCE >100,000 = $15 - s
BOC UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or <400,000 = $50 = s
litsii UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 = $100 - s
BO6>USED APPLIANCE(Must meet WSEC's min. AFUE rating) =or <400,000 = $50 - s
:BOA::: USED APPLIANCE(Must meet WSEC's min. AFUE rating) >400,000 = $100 - s
Th) BOILER/REFRIGERATION 1-100M BTU = $12 = s
BOA:::BOILER/REFRIGERATION 101-500M BTU = $20 - s
B1( BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
'1 t BOILER/REFRIGERATION 1,001-1,750M BTU = $35 - s
.B2< BOILER/REFRIGERATION +1,750M BTU = $60 = s
B ':.`GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - . $10 - s
BI ' RANGE - _ $10 - s
BM DRYER - . $10 - s
:BIQ FUEL BURNING WATER HEATER - ( . $10 = s
BIM MISCELLANEOUS FUEL BURNING APPLIANCE - $10 - s
Bt8 GAS PIPING(ea. outlet) - "Z . $1 = s 2-
`M DUCT SYSTEMS - I . $10 - s /d
B20!:: VENTILATING FANS - 3 . $10 = s -2 6
'B2 : AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 - s
€B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 - s
-B23 EVAPORATIVE COOLERS - . $10 = s
BM TYPE I HOOD - = $50 = s
.B :TYPE II HOOD - . $10 - s
B6 HEAT PUMP/AIR CONDITIONER 0-3 TONS = $12 - s
B23 AIR CONDITIONER 3-15 TONS = $20 = $
B28< AIR CONDITIONER 15-30 TONS = $25 = s
.W01.!i AIR CONDITIONER 30-50 TONS = $35 - s
336. AIR CONDITIONER +50 TONS = $60 = s
:Bak LPG STORAGE TANK - . $10 - s
$32 WOOD OR PELLET STOVE/INSERT - . $25 = s
NOTE: MINIMUM PE' IT F E IS H Subtotal
~ry i PLUS: PROCESSING FEE $25.00
SIGNATURy ,�"A TOTAL PERMIT FEE DUE $ Ss
Spokane County Division of Building& PlanningASPOKANtemsrpfamtrtENTERN
1026 W. Broadway* Spokane,WA 99260 iiiiiiniiiiiiiiiMitigaiiiiiiiiiiiiiiiMaiiiiiiMMONStiiiiiiiiN
Tel. No. (509)456-3675*Fax No. (509)324-3198*TDD No. (509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities.
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PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNERJ ' (I — ` ------// l€ PHONE:DAYTIME CONTACT > `-57y.5:„.5-3
MAILING ADDRESS: ` L./ :_._ --2--,-•01i'''--t L-144 e?
(street (cit /state) (zip)
CONTRACTOR: i.i--))/-Y� LICENSE: A (rGicA fti O9�f'SO 1'<-
/ PHONE: '. 5=— 7 z=7
MAILING ADDRESSS�OSI S-4/./Q,7 �h/!4 L( ., -2�(„/UL{ * Z-IZ
(street) (city/state) (zip)
PLUMBING FiRTURES #OF MUL71 COST •
DESCRIPTION I DETAIL UNITS LIED s /UNIT EQUALS AMOUNT
BM TOILETS WATER CLOSETS,BIDETS Z x $6 = $ /`Z
B( >URINALS - x $6 = $
BQ `• TUBS BATH,JACUZZI,SPA,GARDEN '2-- x $6 = $ 1
BOS SHOWERS(per trap) BASE,STALL ON-SITE BUILD x $6 = $
Bim::SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO, J
X-RAY,FOOD(PREP/CUIINARY/MEAT) l/
Blit DISHWASHER - / x $6 = $ 6
BG8.i CLOTHES WASHER - I x $6 = $ 6
6fi4 GARBAGE DISPOSAL/GRINDER - I x $6 = $ C
BIO WATER SOFTENER - x $6 = $
.13.1Y ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) x $6 = $
B)2 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE / x $6 = $ '6
BI': > ROOF DRAINS/OVERFLOW DRAINS(ea - x $6 = $
B1:* FOUNTAINS,DRINKING - x $6 = $
Ill5.ii WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, x $6 = $
``•>::i>PLUMBING REVERSALS REVERSALS
iii e
in&SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
,fin WATER USING DEVICES ICE AND/OR COIFrrt;MAKER, X $6 = $
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
B18 CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 = $
AND LP.B.P.D.FOR:VATS,SUMPS,
TANKS,BOILERS,&SPRINKLER SYSTEMS
B1W INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
CHEMICAL HOLDING TANK
82 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 = $
ilat MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM A, a ' Ai T F IS $35.00 Subtotal
___ PLUS: PROCESSING FEE $25.00
SIGNATURE• ifO.>. TOTAL PERMIT FEE DUE $ 15/ee
:PLE :;l.` i ECK::: P%y::i: :::::iy::: i?:: :?::?':::��'y '�2
Min
Spokane CountyDivision
ofB
Building Planningnnin
1026 Broadway Avenue•
Spokane,WA99260 ..................................
.....................................
Tel.No. (509)456-3675*Fax No. (509)324-3198*TDD No. (509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities.
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