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1993, 03-29 Permit App 93001914 Wtr Htr, Gas LogMECHANICAL PERMIT APPLICATION FORM N O Information Worksheet - JOB STREET ADDRESS: ,261,R /3..- - 67 C J yy��Q CITY/STAT IP: <7 PARCEL NUMBER: 1 �' / - �`il'� OWNER: '6 fyie ✓ ' ,'q 4// &/"5C L- _ PHONE NUMBER: 9,2 / 1 r MAILING ADDRESS: ,� 7 (Street) (City/State) r (rip) CONTRACTOR: Ce":4,rvh ,4-,5 / 7'<<` t' LICENSE NUMBER: Pte t/ / ,e # / S:::, .'emu i >'c c3 ( MAILING ADDRESS: r sue/ 2 2 6 s (Street) PHONE NUMBER: /-c! (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) • ::loft•r}:d<t.{�x{{?4c?:Y�+�••{.:k::•4::: {{Y:.:<.4{:4::Y:.:::•}r: • GAS WATER HEATER v:•,'""•YiiCiii•i • `:"Y wy.::,:iKarw�ir}•'k�`•:.:i�tiiti'Fi:i GAS EQUIPMENT +100,000 BTU DUCTWORK) ??v±{ r: S^y.r?i.: n}v:� $nv ,+•nv{ {; %': v' :?:S•:}rv-v:,'. {;n}4}.4r � � ?,•�•.: �• ?$%:::•':?::'tf:3.c {k,. {+4.r.?::.{•;#:l�} J4}:.a,•.}{{?4:f: ^4x;": ra::•::4r•:::•:. •. •: }}:: }.C:v :: .. •:r.C.:,a:::4:}}:4%.{. •{?,w 4..i,r}w.:�E;ti:6:?v.{,4c•}r.•%{�,hfii:}> BOILER/REFRIG 1-100M BTU :;:}:.;••:`;}:^»•:4::;•.}J...?y:.y:: r: •}•.;}};%c;{.y : v.:}.#:..}}}:: „mom -..(1} .. �f:•.11y♦•.��Tw+f.l}�i}+:[•f►�}�'vy{Fh�.}.v.v'.::.:: . :7l#.:.b..y......... w:•j{:•..x.:\•.v.%�.}i�:vj:h;?v%.n:.{v:^?}1•�•v:v4�4..44•.:Y:•}�4.,, v}:}{}.}{:}4:vF:-:.:4•^. :�vv:.,{4:dM?rYr:•$}4vri.4i...::.ti,:i•Y `:is n4%vi4 •r BOILER/REFRIG 501-1,000M BTU ayy`A., ��y( E,�h Xt4• }j}f:} `.''pY:.nY{}rii• .. O J ER'{{ �}rE "*r':F• {, •' M :f 1!�.�S. i:.Y..TM.Q :}t4 .•'S}?:' }: ry?:j si; �Ki.'R•r4f �•4rt#}}��. � � � x.. r v ••� ^ 4\..avf:u vv:.:wvt`}.. }}G•.:? .::w:: ........ :..... {.. x:}::i4:v::.4.•}.v}^v\{..w:v v:...w:::: ::.: Hvhmv BOILER/REFRIG +1,750M BTU }� _ }K� �x :• !{ •EE[� ]�( ry :•. "' yy+►�,.yti:}u•�$urY LAM _:{-X4Lrr�:{ Oil i{;:p }o•:vTA•:; i 4JR uA�•'••%ft;! yA :.%ti }i ivVnv}i'.•lw vCti9C �.?Wf}+{{4:}:wvk%}i}:4% HEAT PUMP & AIR CONDITIONER 3-15 TONS 4y:}:v:.:}:•.:Y}:.^}:}:.:}}•:::.;::}, .:::.: ,•:.}}}•.,,}.., r..{4i}x.,,}� ..},+4r:^}Y„}, »}}:mft•• :...:,,w::.::Y.vw::.:•::.v.•.::!{w:: ti•:r:.::.tr:.,,.,^x�^u:•.w.v....:h:.,.• .:. .,4.v HEAT PUMP & AIR CONDITIONER 30-50 TONS {irV.. V•r::::^r:.}•rv: rx:::: ur xrx^N;{:A'r..:.. J.WAye/ v£ . ^%{;.v VENTILATING FANS xoySialaii TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) %Y:{;{r.r:{}:4 ;. {: Y!f•,%;:v: }ti;'{:r{:. �::.yn: $.. v^'4"-},:{::{4:j �''::?Sr:i%;; ::: {i ::: ��++.}µ�(7 `/r?;}{.9:..}:4'l:.::•:.A•:Y•w•.F:;?:3'}::•Gn.;;r:?%pv�>"{4�•-yk -'{%?gi:%]3::. 4} :::`: •?; CLOTHES DRYER �•:: {r: � :;{•Y.::>:^?:?i}r}•:Y. ;?vv;>:}'i.•:i•'••v 4};f.:x•:" �4v ti ir,{:: j{{^{ �.'4' ;.'�•.'.v 4Y.}::i ' �{pl`y `„��.yy Wy�++f-- r:fi ::.'.`:} a :?4.4:.,•f r:?,.::<;^; ;r' i ` ::{-}}}% :%+rr?:�.`}n.`:Y s:{:hY'� "7'y.}.:F :: {g :.':4T'•, •••::Y Y.•.{.r y .>r::: pt.;y{C:i^•.}}•v,(•,:Y}•'�f;Y•:: %i{:y{:}.::1'r Y: {:1:'s`i?}: r'n„}•; 4�CJ:: \{v: A:�4v v:�y•:..v+}r}Y:,�(� ^: �:}:: •r.,rr}:: �}::.4}:::.v}:}n•:{,•:::.u;vu$6:.x.:.x.:::.v.4.. ^.. r.{}.w:.i-:^::v.vS.:w . i�' 4.w Ncv^ GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU J• .:w G.I:rS'>DASfc.±Ai:€{xA4<.%S^.f :......................{.... ^..... ......... ivm,:uxvv:..+iv..:...:h:... USED APPLIANCE <400,000 BTU ::�t� Vic„ �y �,t/!�. A''y:�.:.,�...••/�.•� k.�srr. .:a- • • "'"hf: -�f+'!r+';;��{::���5:`\i�`.�:...:Y..•V.�i���37; �1:7?:%<''4}��:}:':•:•`.:;..{�{:R{{.5:�4%.c:{4x�i:.r:t?#i{: AIR HANDLER <10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 �_�7 (zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x25.00 = x 10.00 = /-- x 12.00 = x 15.00 = x 1.00 _ - x 12.00 = x 20.00 = x25.00 = x 35.00 = x60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = 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 = '- j } /v x x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE oo _$ SIGNATURE 2'n Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PLUMBING PERMIT APPLICATION FORM Infoirnation Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION TOILETS SHOWERS KITCHEN SINKS GARBAGE DISPOSAL UTILITY SINKS FLOOR DRAINS BAR SINKS LAWN SPRINKLER — FOR EACH BACKFLOW DEVICE WATER SOFTENER DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 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 = x6.00 = x 6.00 = x 6.00 = SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE _$ Spokane County Division of Buildings West 1 303 Broadway Avenue Spokane, WA 99260 (509) 456-3675