Loading...
1992, 10-19 Permit App: 92009084 Mechanical Fixtures y MECHANICAL PERMIT APPLICATION FORM'"` Infwrmaii*n Worksheet11 JOB STREET ADDRESS: 3 �c S. C)U�J UJ A4LQ CITY/STATE/ZIP: Sent. \ei C&)A- L1 or'az)G PARCEL NUMBER: OWNER: �7T II&- �6 ( S ' PHONE NUMBER:el97.--6C)_ MAILING ADDRESS: .5 'e n '1 , (Street) (City/State) (Zip) - CONTRACTOR: 1--6( C- �3` C4LICENSE NUMBER: / 4 /(tei/i 2 �� ft-RN E NUMBER: t�3 S',3- MAILING ADDRESS: 5, S Z t� Cj ,�A;rte'' v...„0- (I t-u.._ Cy..i 1\ ni R 664( (Street) (City/State) -- (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = P§§. n:{{•Y.•isi':.iiQXS•:Si'{•}-:iT}•i::•iX'i::i-4''r,}i1{Li>.:tii}:fi::iXr:':ii•:!{}v..:v:}?`:::: ..:k.:c•:3::•{.•5.:'.:`::•`•:k::'tS?i�'^ii:G{%>r.:.:'•-2:<::':•'.kti 2:?_}:;:;:'{? = <}}'Y::>?.}:.:ii+>}:-::.}::}:.::}.;i::iw:::. {.}::?. ;;:. x 25.00 GAS WATER HEATER hw.,w:::.:::.....w.::::,X::i.}X.}Y:}}.:i / x 10.00 = /O -G D KKOM *RG4t} Ve <wtirr x 12.00 = 1 2- -- GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = ::.}}}•..:.}•:;-+:•+: •w::;{,..+w•.Y.}•i,..,v:•fi:.r..::,1,.. •v}.Y`r<}r::i.+;wo:EX"' rv':Sv`�:.Y::. :?: -':':'%::.: ft `p (�♦( ...µµµaaa i fi'tfi'g'.,r7'r'+ •u}?'+:' }:::}i;.•;r:; I Y��I�I!'•��i� ,�.�,•.µ�����v;4�:�L•J�v'Li�tit}Y{Y� {tG.S9.v}i.W}i,v.\+ri•: OX i4:,i BOILER/REFRIG 1-100M BTU x 12.00 = .v:ow.y:.}: :.,w.v:•,y.+w„Kv,.w-r+.• :+r'crm+M+o�:fi.:ri;:+'' ' :}_}:o}•,{{,..•. «, q�n.•+ }r::.;;-•:-y;•':-�y`.}:-'' x 20.00 =iX.X't:,•:.a:::.+•.,:C„{:a•:o-.,ro 'a::i�..:,,a.,\}a•::wX•:xox,:� .nu::::�fi�:'••;�::,:�+�'wr"k�ax�i-•e'c':4:+.ti d..: BOILER/REFRIG 501-1,000M BTU- x 25.00 = r:ny{::W{�`'i+vr:{g.'f,.r4]�:{{fi::i?S4}yr,: }}}rY..wMNS jOL�ii4:i%:ii{+ri{>.Siryr.{{v!? :I w 1 �j �«�y�/� /�y `y'* fi. fi fii x 35.00 = ri 4� Tx•�,r[..j (-�''�•F 1ttt7w:tfa?:: i�#„' �f't W.IYI: : :r{'',..?xa.`},-`Aa-2` .`N,.;.o...+{i•.:..{,s.,:.i BOILER/REFRIG +1,750M BTU i x 60.00 = .: ice•:}}�+"„w.?�} r{fi} by ;.,,�r<:.::::.>.:: : HEAT kgKtI NIKO QN I x' •a w :? :::k c x 12.00 = HEAT PUMP&AIR CONDITIONER 3 15 TONS x 20.00 = ,.::.w::.w , ,,.,>>:.:<.- x 25.00 : HEAT PUMP&AIR CONDITIONER 30-50 TONS • x 35.00 = - }:{:.,.r:{:i:r::{;.:.}v.•{r{.:w:u�:�4, x,{errw.,}•{�?..ii:::::{.:{.i.i:.,.wtwF:i:.;:{�.::e:.{ •{::{i��X..�r;`ti.`a{..:}:'.::: - _ T p MM Ar t# 'CI + 0`7 5 }::I k.:. ,x 60.00 = VENTILATING FANS x 10.00 = :ryty{.'C�v:mr{.yrfi:{.•:{+}• ••:-•:n}}ryr: r:M'ir{n:h?t�}v d?ni::..:..nY.}v�.Xr:. i::::.}}:Y w.}.x..,f r€ ?$v :>;rtiS ' {v. i � :} `i�:' }`v' x 10.00 = TYPE I HOOD(PER 12' OR 12'PTN OF HOOD) x 50.00 = '{:� .}.:.t::.:>....}. 0 i } xk::;,: ."?i ?ice: x 1 •00 :.?.Jc:.:. {v..::::::.:::•.v:4:r.:.:.+{{.:::.:?:;'::;:i^.::r}}i:.:!::•i`i};.'{2.i?.`,.:'�.:`.::;•`':}}X"'c�'''::;i^- 0 - n _ CLOTHES DRYER x 10.00 = x::1iC?:{?S?'.?xx{{{.:::.;•:SS^:SC:Si ii•}:::{fii??�:is X?:•}X:}'F•.5 }:y'{.nw.'-:'•+.:.`•:::viii:-:-iiiiiriiif .:::{n•{rti0•.y:.;•:::;:-i:�}»iti{:.•}}::5::: ..}•u:::::::{:::ri.}i}i:S?{•}'i:ii}:•X::.}.::::S.i:}':•G::n:.:::. ,f}:i, ?;:i}:vi}::::X:}{>:.}::r: :ii;:.:X,:. :}:.:{:;:>.}<::;::i::}:.}::::::::: x 10.00 :v :: w.4}.{•f.:vY:::.•n:�`x•.,ri\•:•:::.vv:::x::x:::::.:w:::{hfi:.Sv:::::?•}}:i}i}viC�:Si\`v\<v..M.:XG:•:i•}:•}}:}--::'::iv GAS LOG x 10.00 = s �riir:. ..:i:r.;:..w`:: _ x 10.00 = .�Mf�Gl=.l+11��1�CX ,�.;:�,��>CQ;{i:��;-;;:}X;irX,{. : rr , : UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 = $tJ=�CII�i �:::ED<. �.'S�Ap•:>`t(�,>.iI:�N?��� 4����t)�} T�>:::..::,w:::<:::::�::-<:»:::�<:<: x100.00= i}':+}i}}:iii��..}:}}}}}\-'•:.-:+•'.•'.•.w:{;-:iv:S.:S�:•:J}.S:m}:: :::: :::::::::::� ::::.w::.vnv.:.v::.......:........::.......... .. • USED APPLIANCE<400,000 BTU x 50.00 = ....:........:::.:...:.:::.{:;.} :.}:.:;}::{.}::.:::::::::. ::>::>:::::{.....:::::.::::::::::::. x100.00- �1::5�....�A.::..::t,:ANG :.::{{.:�!�«�4AQ,:.......:::::w::.: • AIR HANDLER<10,000 CFM x 12.00 = ;::{?.}..}y.:{.{•}}}::;:::::}•}}}}:.;;•};.;};•:•:7.••r:::;••}:{:::isi:{•:i•: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 11 PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 3 SOLU Q(L14n ( CITY/STATE/ZIP: S 'Z/C-v- -r- & � .� (Ai A R9�C. PARCEL NUMBER: OWNER: ZIY: � Ii4 VO (' 1 A PHONE NUMBER: MAILING ADDRESS: 5. - .0 l,- Street) (City/State) (Zip) • CONTRACTOR: t o I! LICENSE NUMBER: 1 i tI >--3 a•-k- PH/O11E NUMBER: `63g—i -9-1-`7 • ' MAILING ADDRESS: 5 '1d17-t:--- c n1 •,,..0 Y=-a CCcw' -c iA. �ciCciUci' (Street) (City/State) _ (Zip) PLUMBING WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT': =AMOUNT TOILETS x 6.00 •}}f•,;'":••KN;:�CrJP:,}w. .{4'.. ,^.•M,�X:{:;vhk:.}{v,•{ �>•.:<:r••+ {}. ,,,,-{��f }}C�:v�Yi�,.�;:it. }i � ,•Y.i$�•:ir{,+y ,�i{G: '}:tiVY{':::•}r:}:{.}}}:{4:4:iv?v'':;:Y}4{.xi.}:,,..x. x 6.00 — •�•r,dk-3cw?':::{:�:�'ScG}Z� ': x.. : •,r.•:4..{::}i:,::��}.,.�cc..::. ai Su:.{ SHOWERS x 6.00 = .v.;y{H.{{.w.}%x: .}}• •.w :�Yrh, ,•,f::Y..rvr?-}+'^{S:$:::ifi]BtiA..}i:{}.:}. AT# a`I:'I�#8 ' • • 4 4 µ xx`; .:_ >}:••-,:{ x 6.00 = `f. "v:`�rM^� a,,,�6:5 `:W:'.v '•kY.....r. \}rrr`kv{No-si�;c{•�i. ',.. KITCHEN SINKS x 6.00 = ?{f4} i•':M'ev}}W. N.:fiY.. r:{{{�•Kv. r. yr{•:`:4}h,}::.Yi.:.}v.}:..v.:{•:4%{.}v.}Y.-:-:?-:{{.v,:nr:.}}; rt. div' i�}i.Cirrl..:}r.}w:{•i.r{;:i�}iI}:fnY•$i::i-:ii::'••�..}•...-. ti 4f . . }i ... <}:.:::.L,if+ f<', {•: x 6.00 = /`., +i: t {C$?�:} 4v:}..:•": '.r.-.•:Xi::}{;;}ii`XC+i:Ci.{:i::{::C\ii{i::?::{y: :•��s.�:t;�:1:�M �:+,C{: {20;}-�?{i,•}�G••v\,Jif.-:i4:�{�•'.•.'��•'.•{CC•'.{Y.{w.{'vt4::iv}}:::::}::.::vw:::r{-..w}:..w...,:. GARBAGE DISPOSAL x 6.00 = s:::Y{}:v .fiw..+ ..,{I::;:{i{;n<Eiiiir::}::>:::>><::}<:<::;aiiii:iiiiin>:: x 6.00 — z�.'t�l;:� �.�:>. }�1�1�(wl��•.`�,'.?�:�,:..�.''..w:}a:;}44{x}.} -4}:},+:} ......::.•:::•-•: .:. �••}}}iiwM.::...rr,.•. w.{,w,...•r..., : :......................................r..r..:.,.:..... UTILITY SINKS x 6.00 = {;.f.>r..x{.w},;•;;.:r...,ym.�:arr;^p:.}•{.w,;4};;,•{ ;5 v:M�{•�Y•{�rjh{it{i?':}}:;:ti;:}}<Lv:iS::::.�;::}:,C:{4'•rr}} = }: :i iSt`'•'�. . ;i}:h::w <:;:;}:{}::<:,: <}>:<::::::: :::::.;>.':.}�: x 6.00 — :..}}}::•:{•:{{i+:AIX4:C•nr}�:}}Gv]Ji 7vt'C4}}}' ii•%{4}n rir}:•i+ O .............. 9+rr:::v$ FLOOR DRAINS x 6.00 = ; .v;�::xa.�:f•'O'.}:{•.rfi:W,:L}:C;v.::?.Y v'. �?�.`,C}CC}}'1,.i•}:;{:,;yiK•}C}}:-:fixifiri:}`v}X{`{e{:is???C}:{•}:?i:{`i ±v`'''ii','. .{� rh:{).y, n+(�\i'.i'J}'iC}} r ,}r:,{?{:}i?;]}'�`f:•ei�ri:Y%:•i.`v-::i:i::i::;{S,n•`•::}ii}::t:;+ = ' , : .+{,..X{ :moi. I }:.' :<;:} ;>:w{:::{::{.} x 6.00 .,...:.w.,v:•}.?a.;::.b:4rxG+r.,:,"au .� ;,,:}::{{a,:aca:{.'r. .t,,..:{{•:+.,{�::t-;r.4n:4:4:{Sx+r.,-:w:x::ky}:,wvw:4: BAR SINKS x 6.00 = ::.:{+-.:;4x}i:}:{x...x.,.. • :or 4. •sr;- .v.4 }i:'i'•.risv�'%:'SiL2..:µ:i':A?+:•$+`4}:N..?{x{•:{{{:•:K?::a k '�v:}f4v•�:SY• J C• }{ j \,: ,[ Jfiii:r:�}:;:+ x 6.00 = LAWN SPRINKLER— � �. +•\ti1.4n'4n}}Yi4(n•.}3iJh41�{2ft~%i FOR EACH BACKFLOW DEVICE. 6.00 = y:{:fyiv::!w,4:M^!xhm"wy�rvvry,�, ,rte •moi::+ ,?Y{x,H.�v+!;.}•}'MYNI.•vN�:{r{l�•} r� $ }'►G/� r O-• �y�;';;?:y �' ,:i.<'•::::.{}:::}.:., x 6.00 r>*'ylwfi { { }h �` �fY 2t4}Q:tJ {{ f .:L.::>{\:� l: — •r.'{•}}+}x iThV%vi�' „4Y::::•}.4' FFi}JCNr}ii?•:{W}kt:%•ii- 4:...,,.:.4iv}�iti:5}'r'+-f.•:. WATER SOFTENER x 6.00 = ::r,,,T r,:::::0:4Y.4:wr.::.}:•}n.,.. y� .fri.+.'isiCC::.:.:ifi:::airy:j+.{:i?• iiiS:i::ii.i:ii::T.ii.`..+.i:}.:::':ii'•: -. v:.}:4: '4:{+: r 4 •}::i±:{?:4:4Y•}:v'4i:::4}'•i'{{•}i:•}:i:.}:wy:{}•}ii'::'i,.i{: .. ::<: x%:::v•: ::: }::{�imE::::im: ',:.:{:{ }'+.r++.. .{:;..<•{?4:i:::?ii x 6.00 — •.;.•Y.:-}}'::4.:..4.-.4-? 44.4:.:::f::,+..}..}#::**:::.}}xiii+f.4+:.:ii}':::::i}ix.x.iv::•%+-.::i.x. : :4'i{vf•:{•�,vri.{{•.:{:nvrn^:{}ri4iv:{{{{{ti{{{{{4:•:•:{{{{i/.{{{.i:-Y{:n�•.}:{{{?v}.viv}:r:,i•.{4}:v:•}::?vx:;FhiL:ti?�ii::i: DRINKING FOUNTAIN x 6.00 = SUBTOTAL N $ s 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