1995, 10-18 Permit App: 95008624 Pool, Heater, Piping i APPLICATION WORKSHEET
I General Information 1
LA-61./1 o a •r •arce num• r
ess / ` , I S Z57/. 0l0 9'l7 /o s, /
O Phone _
OwnerveiL ?i— 5 /
I Mailing address -�
City . /f.&4010:Af State
990g
Site Information '
Legal Description it.i ., fotievi (�� x 4-?t on
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Yropertysize WaterUistnct Numberot: Uwellmgs duddmgs
Lone Luz, , 5 'Inspector le )ix.- 1 s71.1 1
Hoadwidttr
Project Information 1
I Permit Use ,lii 00 I New I Addition I Remodel 1 Change of use 1
I Swimming Pool — Value -
`
L Building Information j
Occupant load
Dwelling units Pa Budding height I Stones1
Buddmg dimensions lotai square tootage I Req'd pariang Handicap parkingi Sprinkler system i Unocal Matetni
7
i
Square foonse breakdown Heating and insulation information (R—values)
Maui uarfloor I Uncovered/covere• .-it Heat source
Second floor 'Other Hat ceiling I Vaulted ceiling Above grade wall
1-inished basement I Below grade wad Floor 1 Slab on grade
Unfinished basement Door i u—value i Window 1•urnace eiti encu
local window area i;e of floor area
Gauge I
—k
Contractor Information i
Building contractor 1 Plumbing contractor
Pool World, Inc. Liceiisenumoer Phone
,� License number Phone
PO—OL—WI-241 *CP 928-6585 I
Mailing address
Matting address
113524 E Sprque Ave jcity,state,z,p
City,state,zip I1
Spokane. WA 99216 IOther/Leader
Heating contractor
License number
Phone 1 License number Phone
i
/
Mailing address l Madmgaddress
City,vale,zip II City,eta ie,zip
PROJECT CONTACT PHONE
Kerry Henderson 928-6585 l
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: /7/0 5- 1/..- as
OWNER: )90.491 n PHONE: 94e.--1--- "19/ -7
MAILING ADDRESS: V / 7 / 0 5 �,G/� 6.,t 4 ! A
, - nti GC I4- 99o3/(street) (city/state) (zip)
CONTRACTOR: Pool World, Inc. LICENSE: PO-OL-WI-241 *CP
PHONE: 928-6585
MAILING ADDRESS: 13524 E Sprague Ave Spokane, WA 99216
(street) (city/state) (zip)
* MULTI- COST
DESCRIPTION OF WOlkK OF UNITS rs.izosr /UNIT A. AMOUNT
:B02'FUEL BURNING APPLIANCE =or<100.000 = $12 - s _
;B03^FUEL BURNING APPLIANCE / �J A (-75;01)
>100.000 / = $15 . s /S
B04 UNLISTED FUEL BURNING APPLIANCE =or<400.000 = $50 - s
aosi.UNLISTED FUEL BURNING APPLIANCE >400.000 = $100 - s
1306:USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400.000 = $50 - s
$07'USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400.000 = $100 - s
808:::BOILER/REFRIGERATION 1-100M BTU = $12 - s
B09 BOILER/REFRIGERATION tot-500M BTu = $20 . s
B10:-BOILER/REFRIGERATION 1 501-1.000MBTU = $25 - $
B13[ BOILER/REFRIGERATION 1.001-1.750M BTU = $35 . s
1812::BOILER/REFRIGERATION +1.750M BTU = I $60 . s
B13<GAS LOG,GAS INSERT.AND/OR GAS FIREPLACE - _ $10 - s
lit14 RANGE - _ $10 . s
1315i,DRYER - _ $10 - s
iBl&FUEL BURNING WATER HEALER - = $10 - s
BIT MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - s
B18'`.GAS PIPING(ea.outlet) - ( _ $1 - i / da
B19^DUCT SYSTEMS - = $10 - s
:132i VENTILATING FANS - _ $10 - s
vv.AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM = $12 - s
1B22`AIR HANDLER(DOES NOT include duct systems) >10.000 CFM = $15 - s
B2S.EVAPORATIVE COOLERS - _ $10 - s
$24 TYPE I HOOD - _ $50 - s
B25TYPE II HOOD - _ $10 - s
B26'HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 - s
B27 AiR CONDITIONER 6-15 TONS = $20 - s
B23 AIR CONDITIONER 16-30 TONS = $25 - s
)424:-AIR CONDITIONER 31-50 TONS = $35 - s
B30>AIR CONDITIONER +50 TONS • = $60 - s
831:;:;LPG STORAGE TANK - = $10 - s
B32WOOD OR PELLET STOVE/INSERT - = $25 - s
Subtotal /'_-c--
NOTE: M 'IMTJMP ' Ili FEE IS$ 5.00 PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE $ (/ �
SIGNATURE: p�i 40,
/
/ SPOKANE COUNTY DIVISION OF BUILDINGS
WES 1026 BROADWAY AVENUE' SPOKANE,WA 99260 ' (509)456-3675
mater\mechperm.hnd
Today'sORIGINAL SITE PLAN Parcel number or
date: 10 /8—q5
n—'I5 legal description:
Site address: I—) / 0 j. Ote4Pcli &
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