1995, 10-04 Permit App: 95008026 Mechanical, Plumbing Fixtures MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: ')(`,({L` ( `
OWNER: LANZCE G. DOUGLASS, INC. f PHONE: (509) 483-6532
MAILING ADDRESS: 815 E. ROSEWOOD SPOKANE, WA 99208-5599
(street) (city/state) (zip)
CONTRACTOR: COMPLETE HEATING LICENSE: COMPLHO5OBT
PHONE: (509) 533-9528
MAILING ADDRESS: 1934 E. MARSHALL SPOKANF WA 99207
(street) (city/state) (zip)
# MIXT,- COST
DESCRIPTION OF WORK OF UNITS rususr /UNIT eov,,u AMOUNT
B02. FUEL BURNING APPLIANCE =or<100.000 l . $12 - s
B03 FUEL BURNING APPLIANCE >too,000 . $15 - s
B04 UNLISTED FUEL BURNING APPLIANCE =or<400.000 . $50 -
B05 UNLIS 1 hD FUEL BURNING APPLIANCE >400,000 . $100 - s
B06`:USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400.Q00 . $50 - s
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 . $100 - s
B08 BOILER/REFRIGERATION 1-100M BTU . $12 - s
B09 BOILER/REFRIGERATION 101-500M BTU . $20 - s
B10'BOILER/REFRIGERATION 501-1.000M aru $25 - s
B11'BOILER/REFRIGERATION 1.001-1.750MBTU . $35 . s:
B12 BOILER/REFRIGERATION +1.750M aru $60 - s
B13 GAS LOG,GAS INSERT.AND/OR GAS FIREPLACE - 1 . $10 - s
B14"RANGE - 1 $10 - s
B15 DRYER - 1 . $10 - s
B16 FUEL BURNING WATER HEATER - 1 $10 - s
B17;I MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - :
B18;`GAS PIPING(ea.outlet) - . Si - s
B19 DUCT SYSTEMS - . $10 - s
B20`.VENTILATING FANS - . $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) =or<10.000 CFM . $12 - s
B22 AIR HANDLER(DOES NOT include duct systems) >Io.000 CFM . $15 - s
B23 EVAPORATIVE COOLERS - . $10 - s
B24 TYPE I HOOD - . $50 - s
B25 TYPE II HOOD - . $10 - s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 - s
B27 AIR CONDITIONER 6-15 TONS . $20 - s
B28 AIR CONDITIONER 16-30 TONS . $25 - s
329 AIR CONDITIONER 31-50 TONS . $35 - s
330 AIR CONDITIONER +5o TONS . $60 - s
331 LPG STORAGE TANK - . $10 - s
332 WOOD OR PELLET STOVE/INSERT - $25 - s
Subtotal
NOTE: AIIMMUMPERMI"TFEEIS$3S.G10PLUS: PROCESSING FFF $25.00
TOTAL PERMIT FEE DUE 15
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE •SPOKANE,WA 99260 ' (509) 456-3675
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PLUMBING PERMI'T APPLICATION
PROJECT ADDRESS: I )I,(I /,
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OWNER: LANZCE G. DOUGLASS, INC. PHONE: (509) 483-6532
MAILING ADDRESS: 815 E. ROSEWOOD SPOKANE, WA 99208-5599
(street) (city/state) (zip)
CONTRACTOR: GOLD SEAL MECH. INC. LICENSE: GOLDSM*290C4
PHONE: (509) 535-5944
MAILING ADDRESS: 5524 E. BOONE SPOKANE, WA 99212
(street) (city/state) (Z1p)
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__ DESCRIPTION I DETAIL UNITS PLIED BY /UNIT EQ(Jus AMOUNT
B02TOILETS WATER CLOSETS.BIDETS C'_ x $6 = S
B03 URINALS - x $6 = S
BO4 TUBS BATH,JACUZZI.SPA,GARDEN ) x $6 = $
B05 SHOWERS(per trap) BASE.STALL ON—SITE BUILD l x _ $6 = $
B06 SINKS LAVS/BASINS,BAR,FLOOR.KITCHEN, X $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO, /
X—RAY,FOOD(PREP/CULINARY/MEAT) 1!
1307 DISHWASHER - /1 ' x $6 = $
B08 CLOTHES WASHER - 1 x $6 = $
B09 GARBAGE DISPOSAL/GRINDER - 1 x $6 = $
B10 WATER SOFTENER - x $6 = $
1311 ELECTRIC HOT WATER TANKS (Nom: if gas water tack.see meekaskal) x $6 = $
B12 FLOOR DRAINS AREA.CASE,COIL TRENCH.CONDENSATE x $6 = $
B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $
B14 FOUNTAINS,DRINKING - x $6 = S
B15 WATER PIPING/DRAIN-WASTE-VENT INSTALLATION,ALTERATION OR REPAIR x $6 = $
B16 SEWAGE EJECTORS GRINDER,SUMP PUMPx $6 = 'S
iB 17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, X $6 = $
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
B18 CROSS-CONNECTION DEVICES VACUUM BREAKER.CHECK VALVE, X $6 = S
AND R.P.B.P.D.FOR:VATS,SUMPS,
TANKS,BOILERS,&SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP.SAND TRAP. x $6 = S
CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN X $6 = $
B21 MISCELLANEOUS FIXTURES x $6 = S
Subtotal
NOTE: MINIMUM PERMIT FEE IS $35.00 PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE S
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675
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