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1991, 10-29 Permit App: 91006959 Mechanical Fixtures
MECHANICAL PERMIT APPLICATION FORM q://--"V5 Information Worksheet ,� 1 i(A.,- it, re 171Z) JOB STREET ADDRESS: 51 / /) t`�? /t! ge R , CITY/STATE/ZIP: PARCEL NUMBER: ( � ' OWNER: - 3,) e u n-i f e PHONE NUMBER: MAILING ADDRESS: - C , i AP , (Street) (City/State) (Zip) CONTRACTOR: /e(t5 (/t ( /7 /IjG// LICENSE NUMBER: b-c- -S 3f /171 PHONE NUMBER: 531/4-1/0 7Z) MAILING ADDRESS: 5,A, ,PDX? e (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE I NUMBER I X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER / x 10.00 = 16.t6 HEATING EQUIPMENT <100, 000 BTU x 12. 00 = HEATING EQUIPMENT +100, 000 BTU / x_44-21-----e6= �; �, GAS PIPING (1 - 4 OUTLETS) 15. 00 x = � .� V-6GAS PIING (5 OR MORE. EACH: ) x 1. 00 = - 44t Az REFRIG 1-100M BTU (_NOT A/C OR HEAT PUMP) x 12. 00 = REFRIG 101-500M BTU x 20. 00 = °4 P1P?T( 501 -1 , 00x? RTU x 25.00 = REFRIG 1, 001-1,750M BTU x 35. 00 = REFRIG +1,750M BTU x 60. 00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 12. 00 = HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20. 00 = HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25. 00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35. 00 = HEAT PUMP & AIR CONDITIONER +50 TONS _ _ x 60. 00 = VENTILATING FANS x 10. 00 = EVAPORATIVE COOLERS x 10. 00 = TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF TYPEHOOD) ! x 50. 00 = I I HOOD A 10. 00 = CLOTHES DRYER x 10. 00 = RANGE x 10. 00 = GAS LOG x 10. 00 = MISCELLANEOUS (NOT COVERED ELSEWHERE) _ x 10. 00 = UNLISTED GAS APPLIANCE <400, 000 BTU_ _ x 50. 00 = UNLISTED GAS APPLIANCE >400, 000 BTU _ _ X100. 00 = USED APPLIANCE <400, 000 BTU x 50. 00 = USED APPLIANCE >400, 000 BTU x100. 00 = AIR HANDLER <10, 000 CFM x 12 . 00 = ATR HANDLER >10, 000 CFM x 15. 00 = SUBTOTAL $ 7420 PLUS: PROCESSING FEE + $ 25. 006, EQUALS: TOTAL PERMITT 62-YP NOTE: M IMUMi I ,' FEE IS $35.00 FEE DUE = CO SIGNATURE %' f'i ,1 ' Spokane County Department of Buildingand Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: S_ .SSC%/L% U2I i/ CITY/STATE/ZIP: PARCEL NUMBER: _.- OWNER: Oki 1 ,e L- tii(`% i) PHONE NUMBER: 7 MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: r`UzS let ' )ei LICENSE NUMBER: / -{ - ` i _ _' PHONE NUMBER: MAILING ADDRESS: r )64 my 5pktir 0 ____91)6 ...&- , (Street) (City/State) (Zip) • PLUMBING WORKSHEET/FEE SCHEDULE NUMBER OF X EACH DESCRIPTION FIXTURES FIXTURE = AMOUNT TOILETS x $6. 00 = SINKS x 6. 00 = SHOWERS x 6. 00 = BATH TUBS __ x 6. 00 = KITCHEN SINKS x 6. 00 = DISH WASHERS x 6. 00 = GARBAGE DISPOSAL x 6. 00 = CLOTHES WASHER x 6. 00 = UTILITY SINKS x 6. 00 = ELECTRIC WATER HEATERS x 6. 00 = FLOOR DRAINS x 6. 00 = FLOOR SINKS x 6. 00 = BAR SINKS x 6 . 00 = • ROOF DRAINS , _i x 6 . 00 LAWN SPRINKLER _Ix 6. 00 = SEWAGE EJECTOR Ix 6. 00 = WATER SOFTENER lx 6. 00 = URINAL Ix 6. 00 = DRINKING FOUNTAIN Ix 6 . 00 = I SUBTOTAL I $ { PLUS: PROCESSING FEET + $ 25 . 00 , 1 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE 1 = $ I I SIGNATURE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675