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1988, 06-09 Permit App: 88001495 Furnace, ACPARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: 9720 E. Shannon CITY/STATE/ZIP: Spokane, Wa. 99206 SUBDIVISION: BLOCK: LOT: ( ZONE: DISTRICT: LOT AREA: F/A: WIDTH: 1 DEPTH:/V( R/W: # OF BUILDINGS: OWNER: David Palmen # OF DWELLINGS:1 WATER DISTRICT: MAILING ADDRESS : 5051 E. Trent CITY/STATE/ZIP: PHONE: 509 - 924 _ 6912 Spokane, Wa. 99212 CONTACT: Norco Keating & Air Cond. PHONE: 509 - 534 - 4975 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: install gas furnace and air conditioner ****************************************************************************** CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LIC#: CONTRACTOR: PLUMBING INFORMATION MAILING ADDRESS: *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC# : NORCOHA17ORZ CONTRACTOR: Norco Heating & Air Conditioning MAILING ADDRESS: E. 5051 Trent ELECTRIC: GAS: x OIL: ENERGY CODE: WSEC: CCAL: WOOD: SOLAR: HEAT PUMP NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *************************************************************************** MECHANICAL FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM NUMBER OF YES OR NO WOODSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP(100,000)BTU x GAS HTG EQUIP +100,000 GAS PIPING - # OF UNITS HEATPUMP 1-100 BTU HEATPUMP 101-500 BTU HEATPUMP 501-1000 BTU HEATPUMP 1001-1750 BTU HEATPUMP +1751 BTU REFRIG 1-100 BTU REFRIG 101-500 BTU REFRIG 501-100 BTU REFRIG 101-1750 BTU REFRIG +1750 BTU AIR CONDITIONER 0-3 HP AIR CONDITIONER 3-15 HP AIR CONDITIONER 15-30 HP AIR CONDITIONER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTHES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE ATV UA1.TTT Qfl 1_1118111n 'Tr_ar x PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WA'ri:R HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBER OF YES OR NO