1992, 01-08 Permit 92000111 FurnaceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provision f laws and ordinances governing this type of work will be complied with whether specified
herein ornot. l understand thatthe iss nceofthis permit/applic tion d,en ubsequent inspection approvals or Certificates of Occupancy shall not beconstruedto
give authority to violate or cancel visions of any state or c Ila re ng cons uction, oras a warranty of conformance with the provisions of anystateor local
laws regulating construction.
SIGNATURE APPLI
OWNER OR AGENT CATIONDATE 2;,: t �
PROJECT NUMBER== 92000i i i ISSUED PERMIT DATE= 0/00/92 PAGE== %
PERMIT INFORMATION
SITE STREET= 4035 S CONIFER CT PARCEL.O= 32544-0125
ADDRESS= SPOKANE WA 99206
PERMIT USE= GAS FURNACE: CHANGE—OUT'
PLATO= 002078 FLAT NAME= PONDEROSA ADI?
BLOCK= i LOT= 25 :ZONE= LIR--3.5 DIST'g F.:
AREA= F/A= F WIDTH= DEPTH== R/W= 45
OF LfL.DGE= 4 DWELLINGE= i WATER .MST ==
OWNER=:: DOUGLAS, BARBARA PHONE= 509 928 4956
STREET= 4035 S CONIFER CT
ADDRESS= SPOKANE WA 99206
CONTACT NAME:- GREG STOREY PHONE iNHMBE::R= 509 535 2529
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
####' '##'x'###a{.##'#'## .#.#..k.#..A.#######•# MEC:HANIC:AL. PERMIT
CONTRACTOR== ACCURATE: HEATING & AIR GOND PHONE=:: 509 :535 2529
STREET= 406 E 16TH AVE::
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FE::E. AMOUNT
----.........---------- ------------ -------- ----—........._-----
PROCE:S'SI:NG FEE Y 25.00
GAS HTG EO,UIPCi00,0001BTU 12.00
PAYMENT SUMMARY
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
01/08/92 125 37.00
---------- ---
TOTAL --
TOTAL DUE.= .00 TOTAL PAID== 37.00
PE:.RMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ----.....-------------------- ____---__...__.._... -
MECHANI:CAL PRMT 37.00 37.00 .00
--------- - -------------- _._....._.._-- ---•--
37.00 37.00 .00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL., GLORIA
#.#.##.##.#.at###,r#####•#########.#.h..M.#.;. THANK YOU
f'
MECHANICAL PbRMIF'APPLICATION FORM
Information Worksheet
J013 STREET ADDRESS:.
NUMBER
OF UNITS
X EACH
UNIT
CITY/STATE/ZIP:
PARCEL NUMBER:
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.400 .
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
X100.00 =
x 50.00 =
X100.00 =
* 12.00 =
* 15.00 =
OWNER:
PHONE NUMBER,
MAILING ADDRESS:
(Street)
(City/State)
(zip)
CONTRACTOR:
LICENSE NUMBER:.!jg&-&
le- AIfi
MAILING ADDRESS:
PHONE NUMBER:
(Street)
(City/State)
(zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNA
Spokane County Division of Buildings
West 1303 Broadwav Avenue I;nnkqnp WA 000CM IrAn% ACC nO�C
NUMBER
OF UNITS
X EACH
UNIT
=AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.400 .
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
X100.00 =
x 50.00 =
X100.00 =
* 12.00 =
* 15.00 =
SUBTOTAL
PLUS: PROCESSING FEE
+$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Division of Buildings
West 1303 Broadwav Avenue I;nnkqnp WA 000CM IrAn% ACC nO�C
PLUMBING PERMIT AOPLICATION FORM
Information Worksheet
JOB STREF" ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE:: UMBER: _
MAILING ADDRESS:
---- (Stre :j
'City/State) — - (Zip)
:�G:\TRACT
MAILING ADDRESS:
(Street) 'City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
X EACH
UNIT
TOILETS
,S[N;KS
SHOWERS
BATH TUBS
':
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPOSAL
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SINKS,
g
PLUS: PROCESSING FEE
+ $ 25.00
BAR SINKS
„.-.._..
LAWN SPRINKLER„
SEWAGE B3ECTOR.: �
s
WATER SOFTENER
URINAL 1.
DRINKING FOUNTAIN
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNA
NUMBER
OF UNITS
X EACH
UNIT
=AMOUNT
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
SUBTOTAL
g
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675