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1996, 04-01 Permit App: 96001968 Plumbing, Mechanical Fixtures 4110 . PLUMBING PERMIT APPLICATION ROJ L'CI'ADDRESS: /—S--- .0`7` •3) ' WNEIt: HARLEY C. DOUGLASS INC. f PHONE: 509-487-9792 ;AILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 99208 (street) (city/state) (zip) ONTRACTOR: GOLD SEAL MECH. LICENSE: GOLDSM 290C4 PHONE: 5119-535-5944 [AILING ADDRESS: 5524 EAST BOONE SPOKANE WASHINGTON 99212 (street) (city/state) (zip) PLUMBING FIXTURES # OF tnnn- COST DESCRIPTION I DETAIL UNITS PLIEDSY /UNIT SCUAra AMOUNT B02 TOILETS WATER CLOSETS.BIDETS ___ x S6 = S B03 URINALS - ..- x $6 = $ B04 TUBS BATH.JACUZZI.SPA.GARDEN i x $6 = S B05 SHOWERS(per trap) BASE.STALL ON-SPI'EBUILD x $6 = $ B06 SINKS LAVS/BASINS,BAR.FLOOR.KITCHEN. x S6 = $ LAUNDRY.UTILITY.IANrFOR PHOTO. X-RAY,FOOD(PREP,CULINARY/MPAT) B07 DISHWASHER - I x ! $6 = $ B08 CLOTHES WASHER - J x S6 = $ 1B09 GARBAGE DISPOSAUGRINDER - i x $6 = $ B10 WATER SOFTENER I - X S6 = $ B11 ELECTRIC HOT WATER TANKS I(NOTE: ifpaswater tank.see mechanical) X S6 = S B12 FLOOR DRAINS AREA,CASE.COQ..TRENCH.CONDENSATE I X S6 = $ B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $ B14 FOUNTAINS.DRINKING - x I S6 = $ B15 WATER PIPING/DRAIN-WASTE-VENT/ INSTALIATION.ALTERATION,REPAIR. x $6 = S PLUMBING REVERSALS REVERSALS B16 SEWAGE EJECTORS GRINDER.SUMP PUMP X $6 = S B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER. x $6 = $ HOSE BIB.STEAMER.PROOFER, I CARBONATOR SWAMP COOLERS ! B18 CROSS-CONNECTION DEVICES VACUUM BREAKER.CHECK VALVE. X $6 = $ AND R.P.B.P.D.FOR:VATS.SUMPS, TANKS.BOILERS,&SPRINKLER SYSTEMS B19 INTERCEPTORS GREASE TRAP,SAND TRAP. x I S6 = $ CHEMICAL HOLDING TANK B20 MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN x I $6 = $ B21 MISCELLANEOUS FIXTURES x S6 = $ NOTE: XIN2911 UMPERMIT FEE IS$35.00 subtotal �� � - ) PLUS: PROCESSING FEE $25.00 SIGNATUR A/' / v4�`-`�"") TOTAL PERMIT FEE DUE $ PLEASE MAKE CHECKS PAYABLE TO: Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER 1026 W. Broadway Avenue ' Spokane,WA 99260 Tel. No. (509) 456-3675 • Fax No. (509)456-4703 • TDD No. (509) 324-3166 —......_ MECHANICAL PERMIT APPLICATION i ROJ1 C 1 AI)DIRI.SS: /valepi.J (!/ OWNI.I:: HARLEY C. DOUGLASS INC. MAILING ADDRESS: PHONE: 509—Q87-979_2 815 EAST ROSEWOOD SPQKANF WASHIN_G-TON (19111,k (street) ff(city/state) CONTRACTOR: COMPLETE HEATING & SHEETMETAL ELICENSE: COMP! HSRficfrrs 1111-1O NE: (Zip) MAILING ADDRESS: : • •. •• 40.57.).61— MAILING sarar city/state (Zip) •r..r wr_ ,crvr. Ac! _'sl.7C • 17-Y Mn f'(lO\ ASA—trim•'TIMI Nn- f5091 124-11 66 DESCRIPTION OF WORK # Issus.n— ' OF LJJIITS iruse BY COSY' /UNIT sousu AMOUNT B02 FUEL BURNING APPLIANCE = or <100.000 / = S12 - s B03 FUEL BURNING APPLIANCE >100.000 = S15 - r 1B04 = or <400.000 = S50 - r UNLIS 1 ED APPLIANCE (ADDITIONAL CHARGE) 1B05 UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400.000 = S100 - s B06 (USED APPLIANCE (Must meet WSECs min. AFUE rating) = or <400,000 = S50 - r 1B07 USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400.000 = S100 - s 'B08 BOILER/REFRIGERATION 1-100MFru = S12 - s IB09 BOILER/REFRIGERATION 101-500M BTU = S20 - s 11310 BOILER/REFRIGERATION 501-1.000M STU = S25 - s :1311 BOILER/REFRIGERATION 1.001-1.750M BTU S35 - s 'B12 BOILER/REFRIGERATION +1.750M BTU = S601 - s B13 GAS LOG, GAS INSERT. AND/OR GAS FIREPLACE — = S10 - s B14 RANGE — 1 S10 - s B15 DRYER — 1 = S10 - s B16 FUEL BURNING WATER HEATER — / j = S10 - B17 1MISCELLANEOUS FUEL BURNING APPLIANCE — S10 - s B18 GAS PIPING (ea. outlet) — .�! = S1 - s B19 DUCT SYSTEMS — 510 - s B20 VENTILATING FANS — 4/ = 510 - s B21 AIR HANDLER (DOES NOT include duct systems) = or <10.000 CFM 4 = S12 - s 1B22 AIR HANDLER (DOES NOT include duct systems) >10.000 CFM = 515 - 'B23 EVAPORATIVE COOLERS — = S10 - s B24 TYPE I HOOD — i = S50 - s 1B25 TYPE II HOOD — 0_ 1 1 = 510 - s 1326 HEAT PUMP/AIR CONDITIONER o-5 TONS 1 = 512 - s tB27 AIR CONDITIONER 6-15TONS = S20 . s B28 AIR CONDITIONER 16-30 TONS 525 - s B29 AIR CONDITIONER 31-50 TONS S35 - s :B30 AIR CONDITIONER +50 TONS i = S60 - s 1331 LPG STORAGE TANK — = 5101 . s 1332 WOOD OR PELLET STOVE/INSERT — = 5251 - s Spokane iIli A NOTE: M PERMIT FE S 535.00 �/j SIGNA At --id.' J Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE S County Division of Buildings41, • U! li....,.i..,.... • Cnnkssnc_ WA 99260 ' PLEASE MAKE SPO CIIECKS PAYABLE TO: COUNTY PERMIT CENTER 1 •r..r wr_ ,crvr. Ac! _'sl.7C • 17-Y Mn f'(lO\ ASA—trim•'TIMI Nn- f5091 124-11 66