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1992, 02-04 Permit App 92000603 Pellet StoveMECHANICAL PERMIT I ?PLICATION FORM Information Worksheet G JOB STREET ADDRESS: 1 p q\\ -c o r=1:b W }A-\k CITY'STATEIZIP: - \ C9CeenI re.5 (n)r gyGl Le PARCEL NUMBER: E S: CrudN -?,,eecia_i n re►9- c; 0 ca-61 ✓Yic yl MAILING ADDRESS: C l -qi ��fpOfJ f�j (Street) CONTRACTOR: PHONE NUMBER: &re e ✓l c fe s S o/ ee (City/State) LICENSE NUMBER. PHONE NUMBER: MAILING ADDRESS: (Zip) (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENT <100,000 BTU (INCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 101-500M BTU BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1,0001-1,750M BTU 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 TONS ....................................... VENTILATING FANS ..................... . ................. . EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE UNLISTED GAS APPUANCE <400,000 BTU ULINSTED GAS APPUANCE >400,000 BTU USED APPUANCE <400,000 BTU USED APPUANCE >400,000 BTU AIR HANDLER <10.000 CFM AIR HANDLER >10.000 CFM NOTE: MINIMUM '•ERMIT FEE IS $35.00 SIGNATURE (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 = x25.00 = 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 = V 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 PEPMI 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 TOI LETS S1NKS . SHOWERS ................................................................... BATH :TU.BS KITCHEN SINKS .................................................... ......... ......................................................... ..... . DISH; WASHERS GARBAGE DISPOSAL ................................................ C.LOTHES;WASHER UTILITY SINKS ...................................................................... ELECTRIC WATER<HEATER FLOOR DRAINS 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 = x 6.00 = x 6.00 = 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 = x 6.00 = x 6.00 = 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