1994, 12-02 Permit App: 94011905 RemodelAPPLICATION INI=ORMATION
SITE ADDRESSParcel number
•/ ca- y S - Son r,,e,
Legal description
Zone
Inspector district Property size
I Right of way width
Water district
_I <
1
OWNER
it..,--, r R
Phone
c1,? 1 – / i f 3
Zip
AddresscI / 4 S, S V n r t 1e� City, stale_
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APPLICANT j / 5`L /A c S Phone
fl
Address City, state Zip
C �Ylk—
CONTACT Phone
PERMIT USE 1.2)UA114
IIA Ai 1;. I 6-00
I n
• Building New .�
Add
Change of use_
Remodel_
Building height
Stories
_
Contractor
Dimensions
Total square footage
License
Main floor
Unfinished basement
Address
Second floor
Finished basement
Architect/Engineer
Garage
Decks, etc.
Value
Manufactured Home
Sign
Width:
Length:
Square footage
Height
Year:
Make: "
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Relocation
Fire Safety
Fire Sprinkler Tent
Previous address
_
Paint booth _ Fire Alarm Fireworks display
VALUE
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Fuel Storage Tanks
(Circle one) Above -ground Underground
Swimming Pool
Size /
Size / gallons
Private
Contents
gallons
Public/semi-private
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
'PHONE:
MAILING ADDRESS:
CONTRACTOR:
(street)
(city/state)
(zip)
LICENSE:
MAILING ADDRESS:
PHONE:
(street)
PLUMBING FIXTURES
DESCRIPTION DETAIL
B02
TOILETS
WATER CLOSETS. BIDETS
1303
URINALS
1304
TUBS
BATH, JACUZZI, SPA, GARDEN
1305
B06
SHOWERS (per trap)
SINKS
BASE, STALL, ON—SITE BUILD
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, LTPILITY, JANITOR, PHOTO,
X—RAY, FOOD (PREP/CULINARY/MEAT)
1307
1308
B09
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL/GRINDER
B10
1311.
WATER SOFTENER
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
B12
FLOOR DRAINS
(city/state)
AREA, CASE, COIL, TRENCH, CONDENSATE
B13
ROOF DRAINS/OVERFLOW DRAINS (ea.)
B14
FOUNTAINS, DRINKING
B15
B16
B17
WATER PIPING/DRAIN—WASTE—VENT/
PLUMBING REVERSALS
SEWAGE EJECTORS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
(Zip)
# OF I muvrt-COST
UNITS 'MUDDY' /UNIT I EQUALS AMOUNT
/
x
x
x
x
x
x
x
x
sx
x
x
x
x
x
$6
$6
$6
$6
$6
$6
$6
$6
$6
$6
$6
$6
$6
$6
$
$
$
$
$
$
$
$
$
$
$
GRINDER, SUMP PUMP
I
x
$6
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMI' COOLERS
x
$6
B18
CROSS—CONNECTION DEVICES
1319
INTERCEPTORS
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D.FOR: VATS SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
$
x
$6
$
1320
B21
MEDICAL GAS (per outlet/bottle station)
MISCELLANEOUS FIXTURES
NITROUS, OXYGEN
x
$6
$
x
$6
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Spokane County Division of Buildings
1026 W. Broadway Avenue • Spokane, WA 99260
Tel. No. (509) 456-3675 * Fax No. (509) 456-4703 ` TDD No. (509) 324-3166
\MASTER\PLUMPERM.HN D
Subtotal
PLUS: PROCESSING FEE
TOTAL PERMIT FEE DUE
$25.00
PLEASE MAKE CHECKS PAYABLE TO:
SPOKANE COUNTY PERMIT CENTER
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
MAILING ADDRESS:
(PHONE:
(street)
CONTRACTOR:
(city/state)
(zip)
LICENSE:
PI-IONE:
MAILING ADDRESS:
street
city/state
(zip)
l ULU Yr. DIUdUwar uY ♦ -•-- ��--
Tel. No. (509) 456-3675 * Fax No. (509) 456-4703 * TDD No. (509) 324-3166
master\mechperm.hnd
DESCRIPTION OF WORK
#
OF UNITS
MULTI-
n.mi y
COST
/UNIT
BQUAts
AMOUNT
B02
FUEL BURNING APPLIANCE
= or <100.000=
$12
- s
B03
FUEL BURNING APPLIANCE
>100,000.
$15
- s
B04
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
= or <400,000$50
- s
B05
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000=
$100
- s
B06
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= or <400,000
=
$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 BTU
=
$25
-
s
B11'
BOILER/REFRIGERATION
1,001-1.750M BTU
=
$35
-
s
B12
BOILER/REFRIGERATION
+1.750M BTU$60
-
s
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-_
$10
-
s
B14
RANGE
--
_
$10
-
s
B15
DRYER
-
_
$10
-
s
B16
FUEL BURNING WATER HEATER
-
_
$10
-
s
B17
MISCELLANEOUS FUEL BURNING APPLIANCE
-
=
$10
-
s
B18
GAS PIPING (ea. outlet)
-
_
$1
-
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)
>10,000 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
-
'
B29
AIR CONDITIONER
31-50 TONS=
$35
-
s
B30
AIR CONDITIONER
+50 TONS$60
-
s
B31'!
LPG STORAGE TANK
-
_
$10
-
s
B32
WOOD OR PELLET STOVE/INSERT
-
_
$25
-
'
Spokane
• ,..,e
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
County Division of Buildings
==r .,__..s—..... * c=.,,1r.„P WA 001611
PLEASE MAKE CHECKS PAYABLE TO:
SPOKANE COUNTY PERMIT CENTER
l ULU Yr. DIUdUwar uY ♦ -•-- ��--
Tel. No. (509) 456-3675 * Fax No. (509) 456-4703 * TDD No. (509) 324-3166
master\mechperm.hnd