1995, 12-04 Permit App 95010094 Gas LogMECHANICAL PE M T'APPLICATION 1(3 09 q
PROJECT ADDRESS:
OWNER: A (flo,✓� i��t�
MAILING ADDRESS: 7/, 2 2-4( rl i(' 0 ,
/ I (street)
CONTRACTOR: I -I 3 1 O Z
'PHONE DAYTIME CONTACT
(city/state)
(zip)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
DESCRIPTION OF WORK
OF UNITS
MULTI -
LIED ■
COS.t
/UNIT
(zip)
EQUALS
AMOUNT
FUEL BURNING APPLIANCE
= or <100,000
$12 -
FUEL BURNING APPLIANCE
> 100,000
$15 -
UNLISTED APPLIANCE (ADDITIONAL CHARG
UNLISTED APPLIANCE (ADDITIONAL CHARG
= or <400,000
>400,000
$50 -
$100 -
USED APPLIANCE (Must meet WSEC's min. AFU
= or <400,000
$50 -
USED APPLIANCE (Must meet WSEC's min. AFU
BOILER/REFRIGERATION
>400,000
1-100M BTU
_
$100 -
$12
BOILER/REFRIGERATION
101-500M BTU
$20 -
BOILER/REFRIGERATION
501-1.000M BTU
$25 -
B7€
gitt
B17
B'IS
B20
1�22
B23
Y4'y(j:
sB2i
B2'
08
Mgt
BOILER/REFRIGERATION
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, AND/OR GAS FIREPLA
RANGE
DRYER
FUEL BURNING WATER HEATER
MISCELLANEOUS FUEL BURNING APPLIANCE
GAS PIPING (ea. outlet)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER (DOES NOT include duct systems)
AIR HANDLER (DOES NOT include duct systems)
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
1,001-1,750M BTU
+1,750M BTU
= or < 10,000 CFM
> 10,000 CFM
0-5 TONS
6-15 TONS
16-30 TONS
31-50 TONS
+50 TONS
Y
Y
x
Y
$35
$60
$10
$10
$10
$10
$10
$1
$10
$10
$12
$15
$10
$50
$10
$12
$20
$25
$35
$60
B31.
LPG STORAGE TANK
$
$
_ - S
s
s
s
s
$10 -
WOOD OR PELLET STOVE/INSERT
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Spokane County Department of Building & Planning
1026 W. BroadwaySpokane, WA 99260
Tel. No. (509) 45-* 3675 * Fax No. (509) 324-3198 * TDD No. (509) 324-3166
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or act
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$25 -
Subtotal
PLUS: PROCESSING FEE
TOTAL PERMIT FEE DUE
$25.00
$:3(c
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
MAILING ADDRESS:
CONTRACTOR:
MAILING ADDRESS:
(street)
(street)
PHONE: DAYTIME CONTACT
(city/state)
(zip)
LICENSE:
PHONE:
(city/state)
(zip)
YLUIvMJsnNG
DESCRIPTION
taI uaS
DETAIL
# OF
UNITS
MULTI-
t.wa.
GO51
/UNIT
EQUALS
AMOUNT
TOILETS
WATER CLOSETS. BIDETS
x
$6
=
$
Bfl
URINALS
-
x
$6
=
$
alt
TUBS
BATH. JACUZZI. SPA. GARDEN
x
$6
=
$
:.:
SHOWERS (per trap)
BASE. STALL, ON -SITE BUILD
x
$6
=
$
.`.
5
SINKS
LAYS/BASINS, BAR FLOOR. KITCHEN.
LAUNDRY. UTILITY. JANITOR. PHOTO.
X-RAY. FOOD (PREP/CULINARY/MEAT)
x
$6
=
$
•'
DISHWASHER
-
x
$6
=
$
:$Q
CLOTHES WASHER
-
x
$6
=
$
GARBAGE DISPOSAL/GRINDER
-
x
$6
=
$
WATER SOFTENER
-
x
$6
=
$
131:
ELECTRIC HOT WATER TANKS
(NOTE: if ga. water tank. see mechanical
x
$6
=
$
T!:
FLOOR DRAINS
AREA. CASE. COIL. TRENCH. CONDENSATE
x
$6
=
$
t$I'
ROOF DRAINS/OVERFLOW DRAIN
-
x
$6
=
$
".'
FOUNTAINS, DRINKING
-
x
$6
=
$
$
WATER PIPING/DRAIN-WASTE-VE
PLUMBING REVERSALS
INSTALLATION. ALTERATION. REPAIR
REVERSALS
x
$6
=
$
)3t
SEWAGE EJECTORS
GRINDER. SUMP PUMP
x
$6
=
$
:$s
WATER USING DEVICES
x
$6
=
$
ICE AND/OR COEEE.e MAKER
HOSE BIB. STEAMER. PROOFER
CARBONATOR. SWAMP COOLERS
`SI
.....
CROSS -CONNECTION DEVICES
VACUUM Warn CHECK VALVE,
x
$6
=
$
AND R.P.B.P.D. FOR VATS, SUMPS.
TANKS. BOILERS. & SPRINKLER SYSTEMS
iii
INTERCEPTORS
GREASE TRAP, SAND TRAP.
CHEMICAL HOLDING TANK
x
$6
=
$
MEDICAL GAS (per outlet/bottle stati
Nmious. oxycEN
x
$6
=
$
M
MISCELLANEOUS FIXTURES
x
$6
=
$
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FE
$25.00
TOTAL PERMIT FEE DU
$
P1 T; ACP titAILl=
PAV'ABLE Tbt
i,,H} f'K
Spokane County Department of Building & Planning
1026 W. Broadway Avenue • Spokane, WA 99260
TeL No. (509) 456-3675 • Fax No. (509) 324-3198 • TDD No. (509) 324-3166
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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