Loading...
1993, 01-11 Permit App 93000137 Gas LogMECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: 4.,- CITY/STATE/ZIP: - PARCEL NUMBER: PHONE NUMBER: OWNER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: (ii " D l.A.Jr C MAILING ADDRESS: 01)-3 /..-- i -...- (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) - itr GAS WATER HEATER e eeeeeeeee.weee)....ee GAS EQUIPMENT +100,000 BTU DUCTWORK) . . BOILER/REFRIG 1-100M BTU •')" ••,,,:::,),•••:•••)))):::•••:••••••)•)•••),••••••:•):••))))):•••:, , „ ... 7.101 P. ",„ ''' ....... • BOILER/ REFFilG 501-1,000M BTU 1 1301tER/REFRIG +1,750M BTU HEAT PUMP AIR CONDITIONER 3-15 TONS • • HEAT PUMP & AIR CONDITIONER 30-50 TONS .• VENTILATING FANIS • •••••V•:;),),,,Y, . .r.....,••••••XxWAVX• ••• TYPE I 1-006-(PER-12' OR 12' PTN. OF HOOD) ..„ „ CLOTHES DRYER ••• ) ••• • •-•.• • ••••••••• :A:4f • GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU USED APPLIANCE <400,000 BTU •••••• , • AIR HANDLER <10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 0 C••• 0, I 1 (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 = 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 60.00 = 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 = 4 --t-5 I 1 at-D I , • x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE + $ ' 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ 7terit--% Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PLUMBING PERMIT APPLICATION FORM Information Worksheei 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 DISH W:ASF $ GARBAGE DISPOSAL UTILITY SINKS FLOOR DRAINS ;FLOOR:SINKS .::..::.:..:... .:..:.......:..:.. 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 = x6.00 = x 6.00 = x6.00 = x 6.00 = x 6.00 = x 6.00 = x6.00= . x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x6.00 = 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