1988, 08-09 Permit App 88002287 Furnace, ACPARCEL NUMBER:
INFORMATION WORKSHEET
/ 451/2 / 10 �
STREET ADDRESS : E. 14211 Broadway
CITY/STATE/ZIP: Spokane, Wa. 99216
SUBDIVISION:
VEPA D -L N TS
BLOCK: S LOT: 1=3 DISTRICT: F
LOT AREA: jr_. O F/A: WIDTH: Pr DEPTH: 1 !_ R/W: /;U
# OF BUILDINGS:
# OF DWELLINGS: 1 WATER DISTRICT:
OWNER: Kim Martin PHONE: 509
MAILING ADDRESS: E. 5051 Trent
- 5`10
CITY/STATE/ZIP: Spokane, Wa. 99212
CONTACT: Norco Heating & Air Cond. Inc. PHONE: 50P - 5'r - 19 75
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
install gas furnace & air conditioner
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
PLUNF NG INFORMATION
CONTRACTOR LIC# :'-A1Ma2
CONTRACTOR - klaatomahrdr
MAILING ADDRESS:
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CONTRACTOR LIC#- NORCO _`Ai 707
CONTRACTOR:
MECHANICAL INFORMATION
Norco Heating & Air Conditioning Inc.
MAILING ,ADDRESS: E. 5051 Trent
ELECTRIC: GAS:-= OIL:
ENERGY CODE: WSEC:
CCAL: WOOD: SOLAR: HEAT PUMP
NWEC:
UTILITY:
SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
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MECHANICAL FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
NUMBER OF
YES OR NO
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU S.00
GAS HTG EQUIP +100,000
GAS PIPING - # OF UNITS
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU
HEATPUMP 501-1000 BTU
HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER 15-30 HP
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
.50
c, (1e
PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISHWASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
NUMBER OF
YES OR NO
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