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1992, 03-06 Permit App 92001332 Fire Storm ReplacementSPOKANE COUNTY DEPARTMENT -OF BUILDINGS W. 13031BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 I 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 provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE � J PROJECT NUMBER::= 92001332 97,,v it/3 APPLICATION DATE = 03/06/92 PAGE:-: 01 3(***3i•3c THIS IS NOT A PERMIT ***4 ** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREETom• 10024 E FERRET DR ADDRESS-: SPOKANE WA 99206 PERMIT USE:::: FIRE STORM REPLACEMENT / NATURAL_ Gi,S Fy�'L.f-tTy r LOCK:w AREA: OF BL.DGS= PARCEL :_: 0 441 •--i 403 001295 PLAT NAME : I I_L.C= R ADD 6 L_OT:= 3 ZONE-: ER•-i DIST wr-' y EAR f WW 60 F/A= F WIDTH= 170 DEPTH= DWE.LL.INGS= i WATER DIST = SPO CO WATER DI:T43A OWNER= LEWIS, RICHARD STREE::•T= 10024 E FERRET DR ADDRESS=: SPOKANE WA 99206 PHONE =- 509 926 1987 CONTACT NAME:-: RICHARD L.ERHART PHONE NUMBE:R= 509 924 8108 BUILDING SETBACKS: FRONT'= 31 LEFT= 43 RIGHT-- 43 REAR 190 -i{3iis3i*3E3£*3i•3E36•H•3f•r.**3e**3t*3 *•• •M**3i:** REVIEW INFORMATION 3(..•*r:-r..****••****•"r:****'A•*#•x•3r,.* DEPARTMENT BUILDING BUILDING BUILDING HEAL.THDIST REVIEW COMMENTS tit: PLAN REVIEW REQUIRED` ...... SETBACK REVIEW REQUIRED ENERGY PLAN REVIEW REQUIRED -. NEW OR ADDITIONAL.. WASTE: WATER ;0MMEN I S 3•:3ki!****.Ka•*******3i******at•*#3::it-** B(,II.I...DING i"'I":RM:I:T 3kk•ii•3i3i•#3Fk•3i•3k3E3i•3i•3f•3c3r#3rh3ili3E3+.•h:-it••:A3i CONTRACTOR: STREET ADDRE:: S S N E_ W:u: DWELL. i.1NITS-= TBL..I)G LI X D =G RE:c PARK INC = LE::NF•IART 42725 E SPOKANE X 84 DESCRIPTION BASEMENT F BASEMENT U DECK GARAGE RESI:DENC'E. CONSTRUCTION 26TH AVE WA 99216 PHONE=:: 509 924 0108 REMODF.::I..=:: ADDITION OCCUP . i...D >Esi.-DG HGT X 5•4 SQ FT 3E300 SPRINKLER': N :HANDICAP., CRITICAL MAT.= N GROUP TYPE:: SQ FT R--3 VN 1700 R-3 VN 189 R-3 VN _ 648 M-1 VN 600 R--3 VN 1889 ITEM DESCRIPTION RESIDENTIAL ENTIAL.. VALUATION STATE SURCHARGE COUNTY SURCHARGE QUANTITY Y CHANGE: OF I'SE::=:: 12 STORIES:-: VALUATION .5500 .. 00 2079.00 3240.00 4800.00 10 y006.00 FEE. AMOUNT 72.50 4.50 139.05 3#•iR•3:•3t3i•3P•3i•)4-k••){•3t3@3e3i3i•ii•3i:><•7i•:a•k•:ri•3r.•*3E3@3+:3i,ri•u•3i• MECHAN.ICAE... PERMIT *************************N *-•***-***3 CONTRACTOR= BARTON HEATING & A/C INC STREET11816 E MANSF'II;:LD AVE: 0003 ADDRESS:-: SPOKANE WA 99206 ITEM DESCRIPTION GAS WATER HEATER GAS HTG E(UIPt i 00, 000 )BTU GAS PIPING AIR CONDITIONER 0-3 TONS CLOTHES DRYER RANGE GAS L.. O G QUANTITY i i PHONE= 509 922 5000 FEE AMOUNT 10.00 12.00 6.0{ 12,00 10.00 i„,00 2000. • NOTICE It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following inspections ARE REQUIRED by County Code: 1. FOOTING — when forms and reinforcement are in place and prior to placement of concrete. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely with the permittee — neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. (Blocking for a manufactured home is required to be inspected prior to the installation of skirting.) 3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing. 4. INSULATION — prior to the installation of drywall. 5. PLUMBING — after rough -in, before covering, and final. 6. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL — when complete and prior to occupancy and/or use. Please provide 24 hours notice. NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on -site drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final approval of a building or issurance of a Certificate of Occupancy. In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall, concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects. CALL 456-3675 FOR INSPECTIONS, TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE. YOUR INSPECTOR IS UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES: • road cuts for utilities or drives, State or County Engineer's Office 456-3600 • on -site waste disposal system, Environmental Health District 456-6040 • construction in a flood plain, County Engineer's Office 456-3600 • electrical wiring, State Department of Labor and Industries 456-2792 • sewer connection, County or City Utilities Department 456-3604 EXPIRATION Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the original fee, subject to certain limitations — please call us if you have any questions. MISTAKES? If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to the Department of Buildings at the address found on the face of this permit. SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 I 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 provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE PROJECT NUM E:R= 92001332 APPLICATION P ATE:-• 03/06/92 F'AGE= 0. tag•. **.**n*** •**•x• ..,c•*******_ p:•:M•.hie PLUMBING PERMIT *>t****.t * *************it*x•k**it;,,; CONTRACTOR::: UNITED F'I...1JMBING INC STREET., 11802 E MANSFIELD DR 4 ADDRESS-: SPOKANE WA 99206 PHONE::- r:;09 922 5000 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- TOILETS 3 18.00 SINKS 3 i8.00 SHOWERS "' 12.00 BATH T'H TUBS1 6.00 KITCHEN SINKS 1 6.00 DISH WASHERS 1 6.00 GARBAGE DISPOSAL 1 6.00 CLOTHES WASHER 1 6.00 UTILITY SINKS 6.00 FLOOR DRAINS y 12.00 PERMIT TYPE. FEE AMOUNT ------------- AtiOUNT PAID AMOUNT OWING ------------ E+UIL.DING PERMIT 916.05 .00 916.05 MECHANICAL PRMT 80.00 ,.00 80.00 PLUMBING PERMIT 96.00 .00 9 00 1092.05 .00 PROCESSED BY . JOHN LARSON lV_& -try PRINTED BY: JOHN L..ARSON Ji--o � K*ii•****it•=r:*hi:•ri.:x..x•********•Yi•***•ri••x*** THANK YOU ***liis***n•*** t #****n:•iiai•r:•x*r:r:n:x•N: /O a_3 NOTICE It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following inspections ARE REQUIRED by County Code: 1. FOOTING — when forms and reinforcement are in place and prior to placement of concrete. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely with the permittee — neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. (Blocking for a manufactured home is required to be inspected prior to the installation of skirting.) 3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing. 4. INSULATION — prior to the installation of drywall. 5. PLUMBING — after rough -in, before covering, and final. 6. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL — when complete and prior to occupancy and/or use. Please provide 24 hours notice. NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan) required by ordinance orasa condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on -site drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final approval of a building or issurance of a Certificate of Occupancy. In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall, concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects. CALL 456-3675 FOR INSPECTIONS. TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE. YOUR INSPECTOR IS UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES: • road cuts for utilities or drives, State or County Engineer's Office 456-3600 • on -site waste disposal system, Environmental Health District 456-6040 • construction in a flood plain, County Engineer's Office 456-3600 • electrical wiring, State Department of Labor and Industries 456-2792 • sewer connection, County or City Utilities Department 456-3604 EXPIRATION Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the original fee, subject to certain limitations — please call us if you have any questions. MISTAKES? If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to the Department of Buildings at the address found on the face of this permit. MAR-11—'92 12:27 ID:HEALTH SPO TEL NO: 94582243 14892 Pal ms_ tit4!; OWNER OFi AQENT SPOKANE COUNTY DEPARTMINT•OF BUILDINQS W.1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 t wilily that I n ($O) 456-367S q p p and correct, endauthorizeSpokane County to proceed application, state twith nprocess no In additioe information n. have in it and a read end understand ubm itted by me or my the INSPECTIONpREOUIREMENTS/NOTICE provisions included Herein and agree to comply with same, All proviaiona of white/id ordinances overning this type of work will be oomplied with whether specified herein or not. I understand that the ieeVance of this permit/application and any subsequent inspection approvals orCertificates of Occupancy Phan nal ea eonntruatl to give authDrily toviolate orasnoel the proviaionaofany ersteorlacallaw rev:atingc 7s,ru'tipn,oresewarranty ofconformance with theprovisions otanystetttof1oeal law! regulating aohstruotion, SJGNATLrnE OF + APPLICATION Oki WAS e e,Eea foa :.WL OL1efiLL IUJSu*al XS; pue4 11: f r 1.,').11'ir'll`I'' 9 >(boi:h 5 , , 4 , r" (;71ht .Xi•160d :II�1 I,fii i')A'T'I;:;i•: O:;/06/ 1)2 I, x h: sE 'iF •x s f ' .' l t ,os;r,.< I ii PE c4-SiFT„nr:. tiv. ,1G WORK W sic r (. r A PERMIT 1:1 I; y 1 ftI? l;' 1 i ��(7>4 1; i'; 1 tt Y r, l'''r) ,r,s,►;1.,,� �'IeANr;; WO, 99206 P1.' 1;011. 1' Ei1•;1- I:•'IFt!'' ,S'TORI. 1?F;11., ' I:'rit'.:N 1 NA rt.)RA( (: A 01 ">4'k (l.A Nt°,:'1t• r: 1 (r'1. AJt; t;f i I t r I. f I, MF: t . i'1 .. f'j;.rl'; .:r cal•; .,1 i, ('i'T' ., - I" is.- NI 1)i. �.. i 1'bJC f., 'E IJ S F IJ.I D ? 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F NI'IriI% 1 t' I')ty Lr„ 1!•, 1' 1l;1r, '(,, KANr. frt1 t>t >.ft:• v •i :[ l()I)r,.l i:G11V.... :2I1tpN(,l 8f' ii,S' : u ) 4 k 1 t t,1,11='. 1 i) %i...ri4Y i'1 T'::: > ,. l,.,l {iN.f l I i "lt') :f='i_ H)KI f lt.:., NY F 1 7 �.'r 11'' ' l.R.1 , r,{At.. lytr`i l ,.. 1 > f!. klf 1 F'r'll.)I+NI::.:: "it•)r? >?rt, 1987 irr:' 1:'1F'1 I:INJ 1,47f1I:I.i, .T14'1, r. V\1 r.1• . br i •., .! v x )t •r' st )i s4 sI * s,) st s,•. * .4)...,I; k, si r : * of * st Si.* Si F,'i„11'lp;l::' , ny(0:4 ;i `7??,1 1•41 CIA id.1I'1 t•1 QtIAN'r'I:T1' t1"t r;:,i•frliINj' :(lllt; T 'r}I� )( 4- jr i) . h'• 4 )4. it p n, ,� tr:' ill k 1[ ! h' )( u r tit i ," r' I. F . 1 I I i 1 ' r1 t P 1 t � I T n w M• * JF # t1F K p• i( •� �(• •1# 9¢ *4. f • i7,' '1 rii: d (iril' Yt:)r, Iil f,"r ilt,Ii4(,, A ,•,•� I'. I:P•+ . T i t.! t c• i f r:. `• r; f'; hl'.i:' 1. E:I 1i ,',tip <-:.) 1rir)I. i... ,,I.,I..II<rt,rNl..' isi'A C: ct L•si,rel.:: • i is •:: I , -r 1 i 1 ,) Ni. T. r Y i. ;i.i: Iir:'s',rF•t• ii II', i1.t)t'•)(+)Ty Li FI•. fF f !hf i-11 N T , id Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: / CJ d 2 Lf , CITY/STATE/ZIP: 5-;:6101c4c tr-- , SUBDIVISION: c� G S BLOCK: 3 LOT: b ZONE: .e;',Q_/ DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: 5 Le.. r` C•. --j-X # OF BUILDINGS: L # OF DWELLINGS: WATER DISTRICT. �. OWNER: Ri C.�Gt L�c� 's PHONE: - rZ Z (o - 1 4 7 MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: l?cA,rPHONE: -9.1'' - Q./ ae SETBACKS: - FRONT: 3 / LEFT: `-3 I RIGHT: L-(2 I REAR: icAftbkil PERMIT USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: -, E t/ f F 4c_c_1, i CONTRACTOR: C� c-� �' �c�T9 uo�� r PHONE: - - q-/ a a. MAILING ADDRESS: (2-7?'ZS £ 2J ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: x REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: r OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: S-'-f X 5-y (WIDTH X DEPTH) SQ. FT.: 1g S REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: Please provide the followinginformation for Energy Code compliance.: Space heating type (check one) Forced air electric Electric baseboard or wall mount Propane X. Forced air gas Heat pump Other: Flat ceilings R > g Doors U Vaulted ceilings R 3 8 Windows U Above grade walls R 2-.4-/ Glazing area %: Below grade walls R / 9 Total floor area �-G SF Floor R of heated space Slab on grade R Furnace efficiency rating 9a go i" Please indicate on your plans: The location of the radon vent, and the location of the vent fan area. Square footage Main floor: 1 9-9 S F.- Second floor: Basement — Finished: 7 CD . F Unfinished: /figs' Garage: Carport: Decks: ec,Lt S r Additional Areas: (.cam 1A de/ i A 2 /SF .� �c3��h-� / /o /� MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) CONTRACTOR: LICENSE NUMBER: (Zip) PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) ............................. .. WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENT <100000 BTU (INCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) BOILER/REFRIG 1-100M BTU BOILER/REFRIG'i0140 : f BTU BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1 1-1 7 0M BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS .... ............................ . HEAT PUMP & AIR CONDITIONER +50 TON$:::;;: VENTILATING FANS ................................ EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) ........ ........................... TYPE I HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE >400;004 BTU USED APPLIANCE <400,000 BTU USED! APPLIANCE`'>400 000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 (Zip) 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 = x20.00 = x 25.00 = x 35.00 = x 60.00 = 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 = x100.00 = x 12.00 = x 15.00 = / / 6 / SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PLUMBING PERMIT APPLICATION• FORM Information 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 SINKS SHOWERS BATH TUBS KITCHEN SINKS ......................... DISH WASHERS: GARBAGE DISPOSAL CLOTHES WASHER .; UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKSI<><'>>':"<<<« '< BAR SINKS ROOF DRAINS LAWN SPRINKLER - FOR EACH BACKFLOW DEVICE SEWAGE EJECTOR WATER SOFTENER URINAL .................... . DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT = AMOUNT _3 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 = x6.00 = x 6.00 = x6.00 = x 6.00 = x6.00 = x 6.00 = x6.00 = x 6.00 = .3 v2 % / / / / / 9 SUBTOTAL $ 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 I0 loo' 1L1 ' 4{3r �-- S4 170r 1500 (a\ SC r C SCG12 l ": y�l j 00 2y cer're_.r OrN e, Lod a clkk (0 I\\er &.\\-ro'1