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1993, 03-16 Permit App: 93001526 Residence L -��'d- PROJECT NUMBER= 93001526 APPLICATION DATE= ' " • •3 PAGE= 01 P ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 18017 E RIVERWAY RD PARCEL#= 55071. 0119 ADDRESS= GREENACRES WA 99016 PERMIT USE= RESIDENCE / NAT GAS PLAT#= 003673 PLAT NAME= GREENACRES 1ST ADD BLOCK= LOT= ZONE= UR 3.5 DIST#= G AREA= F/A= WIDTH= DEPTH= R/W= 60 # OF BLDGS= 2 # DWELLINGS= 1 WATER DIST = OWNER= HUGHS, JERRY & CATHY PHONE= 509 926 7233 STREET= 13511 E 8TH AVE ADDRESS= SPOKANE WA 99216 CONTACT NAME= JERRY HUGHES PHONE NUMBER= 509 926 7233 BUILDING SETBACKS: FRONT= 310 LEFT= 100 RIGHT= 50 REAR= 60 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED 4-1-293 CL r COMMENTS: Ua )4 BUILDING SETBACK REVIEW REQUIRED . Atq COMMENTS: ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE 91F414-7,-4-r- / .10' --/b--- l ie,. ,,/ COMMENTS: ,,,gX:". EALTHDIST NEW OR ADDITIONAL WASTE WATER i ��, _ 4111110. COMMENTS: o. / ' l'L ' ' 1,013 ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= X REMODEL= ADDITION= CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 26 STORIES= 2 BLDG W X D = 55 X 34 SQ FT= 3200 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N PROJECT NUMBER= 93001526 APPLICATION DATE= 03/16/93 PAGE= 02 DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT F R-3 VN 1000 15000.00 BASEMENT U R-3 VN 400 4400. 00 DECK R-3 VN 150 750. 00 GARAGE M-1 VN 459 3672 . 00 RESIDENCE R-3 VN 1800 97200.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 716.50 STATE SURCHARGE Y 4 .50 RESIDENTIAL SURCHARGE Y 128 . 97 RADON MONITOR 1 12 .57 SALES TAX 1 1. 01 ****************************** MECHANICAL PERMIT ***************************** CONTRACTOR= UNKNOWN PHONE= STREET= UNKNOWN ADDRESS= UNKNOWN WA UNKNOWN ITEM DESCRIPTION QUANTITY FEE AMOUNT WOODSTOVE/INSERT 1 25 . 00 GAS WATER HEATER 1 10. 00 GAS HTG EQUIP<100, 000>BTU 1 12 . 00 GAS PIPING 3 3. 00 VENTILATING FANS 5 50. 00 RANGE 1 10. 00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= UNKNOWN PHONE= STREET= UNKNOWN ADDRESS= UNKNOWN WA UNKNOWN ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS 3 18 .00 SINKS 4 24 . 00 SHOWERS 1 6.00 BATH TUBS 2 12 . 00 KITCHEN SINKS 1 6. 00 DISH WASHERS 1 6. 00 CLOTHES WASHER 1 6. 00 UTILITY SINKS 1 6. 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 863. 55 .00 863. 55 MECHANICAL PRMT 110. 00 . 00 110. 00 Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: 55 /_ r / 1 STREET ADDRESS: /fp/7 /(1 (/.e✓ CITY/STATE/ZIP: SUBDIVISION: )7061-- i /4 ✓T ��P(+�t �LwS Lt/c 4II 0 S/ BLOCK: LOT: ZONE: 005_5- DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: I OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: Cil'i, ,j C2. -14,) /4,14, r PHONE: So `j - 772 G - 723 3 MAILING ADDRESS: E / 350 CITY/STATE/ZIP: S(� //< `igl CONTACT: PHONE: - - SETBACKS: - FRONT: . %a ' LEFT: //JO RIGHT: 50 REAR: 40 / PERMIT USE: ****************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: ,� L ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: ,45-5-- X _5,5- (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: e PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE: SPACE HEATING TYPE (Check One) FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT FORCED AIR GAS HEAT PUMP PROPANE OTHER: FLAT CEILINGS RDOORS U VAULTED CEILINGS R i1 WINDOWS U 6 ABOVE GRADE WALLS R / 7 GLAZING AREA BELOW GRADE WALLS R / 47 TOTAL FLOOR AREA OF HEATED SPACE: FLOOR R 3 c, j7U}79 SLAB ON GRADE R 'V, i FURNACE EFFICIENCY RATING .a° PLEASE INDICATE ON YOUR PLANS: The location of the radon vent, and the location of the vent fan area. ***************** *************************, *********************************** SQUARE FOOTAGE: O�' MAIN FLOOR /e1 e° SECOND FLOOR /7 BASEMENT - FINISHED /C.)64 3 ) '..-- UNFINISHED 5fjrj} GARAGE 3 5 CARPORT DECKS / /5 ADDITIONAL AREAS: ****************************************************************************** LENDER BOND HOLDER: , �` ADDRESS �/ y( . V /vIti / c-/-'76%%-rr, ,r 7\ ..----r- \ � _1� r it '�Y r• I r 11 44 �I �� - 'fib','- '? ,r f ct.:111,1- fiji I, 1 t 0, 145.,.....:::..---,4„........4 /, t \. \ 1-3 . e , ''4„fr• . . M \ .'t). 0:01 ev.hi , i tr Ar'l / 4 f Ar \ 1.- \ 61( / 17e)4 7.7e ?1/4/,,,)/ 1*-..v,., \ / Aiw467V /..- /1"P Iletv—t- ; \ 1 i // /.._0___ l \ Ill / :I:4,1K:ma— - ---iiim :3 mum s , `i 1 1q —1, V/ 'w31SAS 39vM3S do r W0U08 01 30Vd&IS WWI1VVNi&iW0 Woad H1d30 l f i •'I Of— :MUM HON3H1 f I _ 1q.0z- ,301/100A 3IVfl S 80 1Y3N17 � � _., <<` V''»j 4 INiLSAS 3DVM3S 40 3c1,11 13c ' _ ` - , SN0I113IJI034S (� sirE .FLAN An i(15 -t::74 I -7-.} IN ecus,moi.p.p /111 140IIV11VIsNI 01 8018ld 099I1 E IV 9J1J10 3H111'3 isnnl noel 'Ntlld 03A01iddV SIHI 01. tNiva030b 11LSAS SIHJ. 11VISNI 10NNV3 110A it s-/%AN 0 X N•lJ K - if .. • . .... . z0012 S3IOD Jt11f OD 4-4-4- EL'IV3H A-ID dS LOST I C 604$ 9i' 10 46/6Z/60 I /y1/ _,...__ ----------_,, ___ ,____ / _„,_ ___ .„._,_ ....__,„\fle.rra 417.,, _____„- ,, __„ / 4 _ y...-.:,.. , ___ , „. ,1,,A-N .... ___ .....„--- _.,„ .,-. j1 .#'. lel ',' � !/ 'l__,„_ t.il 1F} /____----- /1.\\ .. ,l 1 =-_ / ti l i r7..„.....,„.„.....) ____ / :". 1 r ,_ ii-----/\ t,____, t1 \il l i / \ rt:2°014%:4141S:r t /. 1p 0 / E d '� \ 'f 0 I— ?W / \ 4 Rt _. ///41: \\\\ .7,/ / 0 1 C:11 \ (1 \ 1 / ) / \ \ // \ 1 \_ _ . I / //, 511E 1=1_4"1-4 ra ADDRESS: Ill / • kaWtt). nit/`:!x ZONE: ROAD WIDTH: Id' i sI.-%)3AcY S FRONT: <310 RANKING. ,`.s-,- COMMENTS: ;- ` "' REVIEWED BY: qa- - i A -. .., . . ., 1 ..,-.. •,. :. • '--",: l':.:,'t,,-:;--t k,,,,,t•-,t,-,-.1.•,7-- ,,•-• ..---— -N•ctr--.:7'-''' -' •-• i —.—..---- ___--- ..— ,...._......---- .. : 7. —1)--7------..-" I - --r_ -- _ 4 „ IL jy,k ,‘, ,..-. .....----- 01.47:r Y....• % . ........----- --- ''' ____.... $--....„_.-.......... ... 1 i . . ...., I .I. 1 _-- .,, 0 ii ..„ ...„..., .„.„...... 01,... ..„,.., „ li? i --....„, .....A. ....liir."..--.,:.......)... ..........,........ _.:;:::=1,r.'" ,„,....,..)‘2 '(iiii 11\is,,,c6'cd: \s/ ----,--• i , -'..-- r..t•-,4-2-Z z;,, . .s -- , ...., (,) it h•-• - ...... - ,,,'' \ .....\ 1.7' ,......,. .,... -ki --- GU :IS ,.. Cl P) .4 (..--N. (T) ,-4:4 V..'V..' a/:1 I Lir Ttl 1--- ir T- 7- IN -.A- 77 A n, • Pv# Dept VENDOR JERRY & CATHY 13511 EAST 8TH AVENUE SPOKANE} WA 99216 Vendor Contact/Tel EPS PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR SUP TO: BILL TO: Confirming Order Change Omer # Bid ID Blanket# RC# vI# FOB: ACCTG. PERIOD: CONjVIENTS. ,"r/O� PO DATE: DELIVERY DATE: ENTFRFr) BY. BLDG/ROOM: WAREHOUSE: COMM LN# DESCRIPTION BUYER PURCHASING DIRECTOR• COMMODITY NO REF ACCT LINE QUANTITY UNIT UNIT PRICE TOTAL PRICE LINE NO, #93001526 80% X 845.47 #93001526 100% X 4.50 ::93001526 100% X 1.01 ,x93001526 100% X 12.57 ;.93001526 80% X 110.00 ?93001526 80% X 84.00 OROJECT CANCFLFF) 18017 EAST RIVERWAY ROAD =$676.37 _$ 4.50 =$ 1.01 _$ 12.57 FUND AG07 I ORG 02 03 04 05 06 40 406 4006 406 N20 030 030 030 030 000 675 _$ .. ...00 =$67.20 9.65 0.000000 0.000000 0.000000 0.000000 0.000000 0.000000 PAGE TOTAL: • 676.37 4•`.) i 1.01 ._, 88.00 67.2u 849.65 SB ORG ACT OBI SB OBI REV SRC SB REV 1 RPT CAT BS ACCT JOB NO. PAY THIS AMOUNT 0008 0008 2210 4150 0173 3170 3700 GRAND TOTAL: 88.00 12.57 1.01 4.50 849.65 P!F RECEIVING CERTIFICATION Materials noted in quantity J have been received in good condition or contracted for. SIGNED TITLE DATE PAYMENT CERTIFICATION I, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the materials have been furnished, services rendered or labor performed as described herein or contracted for, that the claim is a just, due and unpaid obligation against Spokane County or fund agency indicated above, that I am authorized to authenticate and certify to said claim. SIGNED TITLE DATE r.EP ?FFa TRAVEL CERTIFICATION I hereby certify under penalty of perjury that this is a true and correct claim for necessary expenses incurred by me and that no payment has been received by me on account thereof. SIGNED TITLE DATE PAGE 1 ' C • PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE NUMBER X EACH ' DESCRIPTION • OF UNITS UNIT =AMOUNT TOILETS —3 x 6.00 = ::4:3:{;i}:;:�{.ri:.}i}:{.}:}}}}:{.}:{vx4}:4:•:4}'4}}}}}}}}}:}i}}:}}}:{ti4:4}}ii}}}};:}}}}}}:^:4:^:•}: :.:i:::;::.};:<{«:::i:;::i i::i::i::i::i::i>::i:?:i•:>:z:-}.,:>:::i::>;::>i:::ii::»::>::>::>::>::>::>::i::i::i::>:> syA X 6.00 SHOWERS / x 6.00 = .::.<..:::::;}:; ::>:.}:.}:.;}:.::.}:4}:4:::::::::::::.�:.�::::::::::.}'::::::.}.::;:::.:.�:::}:.}}:.}: x 6.00 KITCHEN SINKS / x 6.00 = x 6.00 ;:;{.}:.}::{{:::;}:>: tr.::ii>:}:.}:::}:i:}:-::i::i::i:::: GARBAGE DISPOSAL x 6.00 = x 6.00 ........................................................... � UTILITY SINKS x 6.00 = x 6.00 = FLOOR DRAINS x 6.00 = ..v 4S ti:.2:: •h•.4:{{L:v^:•}:4{•:•:v'•}}'.}}}'r'r'{:::}:v'•.:::•:{:rti>::i:^:^ :::4}}}:}}:}i}:ii}ii::ii:4i:4}}}:W::} .... ............... : .............:..:.. ........ BAR SINKS x 6.00 = xr::C{nvv\:}::}}iii{ri:}:}Y::,ilii}i sig::'viiii'i':ii}�Yivvi:i:{{{4• _ ::Y::};.;:..,;{.::.......:......v.......--.:.�:::>.<}•ii:}:i::ii:-i::ii::::iiiiiiiiiiiii}'.:}`::{:i::iii}:<:: {o1Q:Q�.��J�# .'�i..: :::-•<::>�:::i::.<.:><•}i::i<:i::::{;:.}•<:>:::{::::.::•}:..:::::.:�::•:::::::::•:::.:::::::::::::::•:::: X 6.00 = :.•{.4::1nv4.vv+}:r•:••.rv}::•}vv}:•}}'r::}:•}: }::vvv:^::•}}?:4}i}}}};.;4} ... LAWN SPRINKLER— FOR EACH BACKFLOW DEVICE x 6.00 = :; ;cr::i`:<;:i::i{:;}:i';:i^•{:i:::i::i::;+.:•.}.:::.::;:;::ii:::1:;:::;i:;:::ii:::1::::;:i:•;:ii:: — �� A-..E�.. ls # »..}:..>}::.;:.::.::}:.i.:::::{;4::.:::.:4:::::.}.::::::::.::{::.}�:::::.::::::::::::::::,.:::: x 6.00 - :...: }r:.4::.rYFr>.4.v::.:}::}}:v:}::.}:-}}:.::.}:.}:.}::::.}}:.}:.:::}}}:�:.}}}:.}}}: :.}}}}}:-is.}:.}}:.:.i}:.}:.}i:.}}}:.}:::: WATER SOFTENER x 6.00 = t�R1N1` <'�>":•:.�;.i:::•:•::•.�... x 6.00 = DRINKING FOUNTAIN........::::{:}<:.i: x 6.00 = SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT FEE DUE =$ SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 it , I, MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (gip) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = in0:0 '�..YANSt '.:..r....:..:::..�}r::.;•::::::::?{{::3•.?::fi:..�:.�:.�:::::::::::::::::::::::::::::. x 25.00 - GAS WATER HEATER::........................................:......................................... / =/ x 10.00 SIw �t r..::.,.:r:::,.,.:fi}:.,..v:..,.:..r.F.?fi:::..:.-0A.�w:.::::,.:r:�::..:::�..,.: MM}:{.}:,, ?,.:::: / x 12.00 GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = ......:.......... ... .....}•n..,;:.i:;;:::.::{yw.v,;...::.w{::n?:?i:•::v,•::::-0:•. v...x:;v:{':'}'ii:4ti:}:i n?:4'v}??:4??:'6}:•?i;Y ,:.:::.- . .:�t..,.r� ���fi:r:...:{..�w.:..,�x.�:-:��{•�..}. �h��...�,<�.?�:.>«���rf�::.....,.......r:.,.... ,3 x 1.00 = BOILER/REFRIG 1-100M BTU x 12.00 = 0:0 f •10:0* ..`,; ,..."> f `<N ,.... .. x 20.00 = BOILER/REFRIG 501-1,000M BTU x 25.00 = v..e.•F:{.?'•}',Y,.:?•}:::.}•:,{x�rr`;�:;5:•:.•nr:+f.}•.r:.,•r::::{:.:?;�;::{ry}:O\::'r>::'ri:i+i ::�ii:::�:ir iu:r:: iBoil??:n•:.rr ri.v :'Li: : riv<,'•l??:•,';{.i::::;{.i}.:tjiiii:�::i:•'rtj'::tri:$:ii: ::.tattl a : ::<;.�i i I� : E v..3:>:<<:?::<:;{;.ri:>::>::>«:<:>:<:>$:>:;�::;:<:: x 35.00 = BOILER/REFRIG+1,750M BTU x 60.00 = x.,�w j.}..��::.:v.,:?.•::fiw.Y.Y::..::nv.Y::{:vv:.•r:n�...x�r vn:::n?v::niviv.?:i3:•?:O:•}:•i:Q}i}i}::}y;?:{4 ::.�:.:,.::?.::::.:.::..r.,:.}�.{.�...k:...,: .w ' � � : :? •...•,..•'.,..•`.j'� ! ..�.�..a:<:::«�:>;�:;«:N:?f<�::: x 12.00 = HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 = n . ...fall <:: :* ' NO:::: :> >.;>:: x 25.00 = HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = �!y��� �y1:r:{,Y:any.;;�::.;�y{r.,.::?.�:Y:{�.+.:r�k{:�:.:ryr+.�v:.Y�ry{�:,}.Y v�:y.....:�:+{�.�...:,:}:{:.?.:?.: :::<<::�>>::>:::::<<:: :- �r:[NP IO: 7#I s:1•I %a:•.�D.#TIN i::i:: a7V#;. :::�: •;:-r::^:x:!?{ii? = x..,.:.�::.,.::.::::..:.:. ::�,.? :,.�.:r>::::::::::::::::r:::r.�:r:::::.:r}..:::r?�:::.?:;�TC� ::,,:.?:.F::.?:;.:??>�}:.x:{.??:.: x 60.00 VENTILATING FANS x 10.00 = ifI ••,;..wnv:.}v:{.}::v.:vv'r.Y•-{.Ie:•}ri}Y•,y',y: •rF.::}>Y::r..fi.. .... ......, .f Y:{F W Sx f?::?::•'i,:iY:.{r ii' SJ'?::`:':•;.}:'{:, n •;viii•? '4 v:::�;r3?{•;.k,'tir,vl $:.:::: : ;S I S::... :..: { �•3,`�,', r}. s:,::z:..;.:,.:..{. fi?•:i:?::AI x 10.00 = •ar::k•.::••..-0>..r��.:.:.::::.r:::..:...,:.::.::.fir:::...?.-:>.J...•i3�;..:j}.v.�'•�fi.icfi,.;fir.•:{,\.::.:iif{.o:•:Si:} :;is};:?::::cc 00 TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 = �,{.J..�V ,W�if; }?.;C•?:•,:.??.'-..;::?;..r.:.:}r,•:,{tfi,:.•}}{: :x' ::•;:v+/ln+t:'?::•,.i::::r.'i.:j.'i;::Si:::?: :+i"•:4:e:1R.'.;>�r;.•,+' j . ;fi::0,}•::?•}}3: n.}{:H �,�.{r .�}•,:v�...'�•' i'{4..}v ;:?i v?')vn - :kf::::::v::,.:�;t .:•::?.vfi �i}}'.•:•/x:':•{{.?Y:}.'•:h:?{':}�i}}},3,.}v:.�%{i}n{}%v::::ti}n'•X}it:i::::;.4,,.;:;Y:�}i;+{•{p'••3::{:4:'iiv:��::::::.:i::. x 1 O.00 = CLOTHES DRYER x 10.00 = :�}� :i>i�?' ':.{;••.;{G:v:ri•'ri'F•h::}i}�••{•s?::::'i}i? it ti:K'f,}:{{$:ii:;.}}i:::':ii:}i:'r{i?ry::i::3:;?.ti?}:b:{•i:4:4:{?}:i:•i f: OR {:••}5 .?n:r:{{,.?;'.:..y:{•:'.'t:#::$Y••:?}••.?;iC{i?•Y..•r..Y,Y{.?.:::o;}?;;}:{.;..:::::::y:.{..;•:.?•::. =. ........:.:.:..:::..s:.?,...,...w.:r.r......:.�:v:::r::.�r:;.}:?:F.:?:.�ri:�:.}::,,;,r:,:::?::::{{:.::::::.: .:.}}:?.:::;::<:::?::�?:.::>:><:.;:i:;:: / x 10.00 GAS LOG x 10.00 = •.,,:�:.i::•Y:rrr::.•-0,;:.Y::;;::.,.:.:••;v::;::{:::.;•::::::::.,}:.::.:;;;K•.v.{;:.::.::.}•{::.::::.,,::;:::.x:�h rEz.:><:> ,tGl.gga.M ` : :'•'� 'f"a.OV :# I I : ; � :::::<r •;:::::.: = .::r .,..:?v,.:.:�:.,.:::::::.rr,,v.,.:.,?..,,.:n.::::: >.»:.>:.>::;?:.::: x 10.00 UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = ::.,,:•.i::.i}.:.::�::Yr::::.:{:..Y.i..?•::.?:.:.:>{;�..}.::.:,;w:,:..:{.�.i;•.,,,,,:..?..v.ii:::>:i:><:;:>::>s:?::i:�<::;::: UUN:ST I '. •::' :::::::: ?.:.. . .;:: : : :;::`'>::'::'::< ::>::::>:'::>::>{:::::::::: .{.:, �!'; �:.�?�� �'!�.•�"r.• ..•�•.•..`..{,., ��. ., �...�..{::::.?:;fi:,�:.�:::...{.:::.::.: X100.00= USED APPLIANCE<400,000 BTU x 50.00 = ilmminegM04.40mgrUMEREMINEMEN x100.00 AIR HANDLER<10,000 CFM • x 12.00 = AIR''F: #1.f:I;BR f :.: : : >'::}: ' :?::?.}Y.}•:.:::;::fi:}??.fifi?<}}:::v v:::<:;:::::>::>::>::;::>::::>:v:::>>::; ................................::.:�}}?>:.�:?::���� k�.?:.;:.>:.}:::::::�::;>::>:>::»:i:::;::>::<::<;::>::;::>::::;::>:::«:;:<:>:i:>::::<::�»>::: x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 NOTE:. MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT FEE DUE _$ SIGNATURE • Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675