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1992, 09-22 Permit App 92007950 Chimney0a((o) u (e-t-0 eccici JOB STREET ADDRESS: MECHANICAL PERMIT APPLICATION FORM Information Worksheet / y� CITY/STATE/ZIP: 'cfG2t- Calf OWNER: // MAILING ADDRESS: PARCEL NUMBER: PHONE NUMBER: 92 ~ 90 (Street) (City/State) • CONTRACTOR: �f-r1�/�')z- Cf (- LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: �J Tv 1G .%19-11.0C2/4T cAM-- (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION NUMBER OF UNITS X EACH UNIT = AMOUNT ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) �::.•y!r..:y..:r:: .+•,�..,:,�.: r•, :�..,r..t.:�`'��`{rv:v::,<%}:fr::..���k3:k.},4if:C!V%{{r..�r'+:�+'�.{°`w? M1,y`yI, /♦010: t �ir.Cfr.:.:q:,::' 4h1T.f i:n}i.4,'•?6:: $:n:\`C�:+Y{..' }v..}{.\\4.:`:?ol:y ' rpy+{%r}4:{: %aaa:,.xwiw:a%a:,�,.w::;',mmaa � v.r,;,. .r:.{.•v:y:}\`..i!nWY:a:<! v�v;.{:.i�^c2at.,�v:.:.ba:G�vwrc{..�:?.akw4ua GAS WATER HEATER .:rK !ii•;:;..f��n}vvw f: M'rrnrrrrrnv:rl•!r:r: nv�.y..,�:.w^�v�^rv^.^.. 0^`.^'^^Y..ryr.YAT' s giftw „ Qt�, Ott it�iT ,.fr::'s':;. zo':.yam,;,:;:' GAS EQUIPMENT+100,000 BTU DUCTWORK) S.'r^" r!.rw:r rr..z ^rr.:�y�•^'!^.� � Mvq� ..�^::fv+m�`%u.^.r•� �4u> �• �A/� ttt�yyl .• it F�" ,�L..jhk g ••g� i�!y'! f` o.C-r%`{!:,c`y,:'c.. :c' a.••: < •c;i.4•7' %1�%4.'il�l•i' F��{�i;.':+•'4'O:V'Ir�� [ a �M@-.�c:.:. 3cw. w:ww..+^+;n ...v:'W..:xw. � u.6.vv:av: �c. �� a.. BOILER/REFRIG.1-100M BTU BOILE...R/REFR.A.IG 501-1,000M'BTU yEffit4OrrrimimaYtirrEqrM BOILER/REFRIG +1,750M BTU aa•,y....•.,r.-r.,,.;,N..,,V. M+;.rka�:'r'yr>c:•raMcyrrrvr!wr•„�.+rrM+,.vrM,. ra+rr+.r,. ::::.w ..... HEATPUMP & AIR CONDITIONER 3-15 TONS SaA..4:. w t\_ w.w.. �:.v..: :.wa..�.ua...axa,.awwa4,'aV.a' HEAT PUMP &AIR CONDITIONER 30-50 TONS VENTILATING FANS __ y�xrx per rw�•,a✓`+•aw�r�+m�• / ��'. x/'' o i�Vj:' {; L � ti {:}. 4G: h.\� � �'4 {.:x i'L,'rGiarC%l,w.: ^4{' .vw."riLn��"ii:'iY�:�xw�a Tr.� "vn<x Wv.-0OC TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD) �.a�rM.•w+�..!;!:.'^,%%.%:.;^:; r:.""'"".•:r;�r�'m4;^�r�,^. m:^...: )^;::.r,�'M?'^:�rt}• vy{. y�a.�. /�.y♦ . a'^': ^:CiJii9%1{J•". a,,; ;+: r LrS:;'>`:::.y:??}.O.l+�c:'\:`:iS:aosS�'i'{'9.`{J,':,`'S,v ¢4': :.�~� 1•I • ' f' {0.% :.. {{Q'.{.C{ :{i� ry\):w{f"iniYti:vi�i '.:'.\ W!!.. t.. 7.�n "ryh} Y.a::iRi: .GhW4�ri0.`•X�".'Ti:{4fn"wv\'isKS{M1AKvn{h'n:w:vhK:\:{.w:wa:Ow��`AC�tk\.'�'w0:w',�C.,k;'ia� CLOTHES DRYER ii:hC` Win• '1�i\}•^htiY.YP'n': raoc.�y::a2: xaw{,^..::aw:waaA.aa.,aaa:3� GAS LOG • "Veil .,,r.,.^.^.: ,�,. f �'W' f; !WiG.t!{vi. UNLISTED GAS APPLIANCE <400,000 BTU /.r..^7r:{a•!ri7: ;rvy4'nWa^ i' F:i'!i�n+ii • :^' n 'a M1)��i:.'iryvV..w•'`4�Y��•�.V,.V iJ". N:}••a(.'1r.1.'l:}i'{: �{ ... USED APPLIANCE <400,000 BTU }rI iy-ry•'rny!v,!(:(.y'•;:x.�v�ra+:1;v`:`Y�!}nryxi rrrr ;:!{x+f/!��v!.w.•::x{rx, :cr.::,.!•::..�:::.•::.::..crrrr^:�..wr:::r^.:.N. v:,.::,,wrt .•:r^,,..cy..,..:•r:.... �. AIR HANDLER <10,000 CFM !r r,;H.11rfr � :•:y tit r{ Jy .'f.: ivry•!$�n{tir r:i? x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 x1.00 = x.12.00 x 20.00 x 25.00 =. x 35.00 =• x 60.00 = x12.00_ x 20.00 x25.00 = x35.00'.= x60.00 = X 10.00 x 10.00 x'50.00 = x 10.00 x 10.00 =' x10.00= x 10.00 x 10.00 x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE 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 PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS- CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PI -ION F NUMBER: MAILING ADDRESS: - (Street) (City/State) (Zip) • CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) CAP) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION . TOILETS SHOWERS SBA>°[ Et• .t . KITCHEN SINKS GARBAGE DISPOSAL lOWARP UTILITY SINKSrffe SINKS FLOOR DRAINS axmt8m�aw,�G. BAR SINKS LAWN SPRINKLER — FOR EACH BACKFLOW DEVICE WATER SOFTENER �r* 7�t N{ �}'^.yp� �.,�n..:..4� �r.f6K, tt•+ xt:, i..: ff�•4 11`�.RAEl Ghl, t .b'crx.3 to octc:wcc:'u uftltsrccorouat2.�..Yaoa:.c' DRINKING'FOUNTAIN • NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER O.F UNITS X EACH UNIT • = AMOUNT x 6.00 = x6.00 = x 6.00 = ... x6.00= x6.00 = . x6.00 = x6.00 = x6.00 = x 6.00 = .x 6.00 = x 6.00 = .x 6.00.: _, x 6.00 = ..:x6.00.:= x6.00= = x.6.00 .= x6.00_ x6.00= • . 4 S• :} . i. .. t . . _ • .. •:.:x6.00 . SUBTOTAL $ s PLUS: PROCESSING FEE 4- $ :. 25.00 EQUALS: TOTAL PERMIT • FEE DUE = . • $ . ' • - Spokane County Division of Buildings