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1991, 08-30 Permit App 91005404 Furnace, AC
MECHANICAL PERM c" APPLICATION FORM pg' _ Information Worksheet E JOB STREET ADDRESS: E. 7. G/� , J7&j1 6 1 CITY/STATE/ZIP: �i 96, 1% 4-4GG .• 992 ARCEL NUMBER: { 1 -O 6 OWNER: , /4 6�'/2/5�c" j 4"t/L Z PHONE NUMBER: MAILING ADDRESS: _.S,4,'ir y CONTRACTOR: (Street) (City/State) LICENSE NUMBER: PHONE NUMBER: L - MAILING ADDRESS: /1%-/7 2 "G10 cS6`�C ¢..�/ '- % - 9? (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE . DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) °V t • GAS WATER HEATER GAS< Q IP ENT<1t3a3t <ON LL DES> «<v GAS EQUIPMENT +100,000 BTU DUCTWORK) .GAS PIPING (EA OUTLET} BOILER/REFRIG 1-100M BTU • :BQ]L;I#:.I✓I��A Al0.t+tBTI::.::::.:;>•:«::<:< BOILER/REFRIG 501-1,000M BTU;.;;;.::... .:..:......:nv:.... f.•.yx.;r:.;.; :::;:.v {.w: y:: {:.v.•::.J; :•?};y{x::n.{::+::.; ,{xy;r,:;r..,; {,y:,.;:;�{.:qyy� :yr:::. BOILER/REFRIGG +1,750M BTU • ::HEAT PUMP &AIR CONDITION•ER HEAT PUMP & AIR CONDITIONER 3-15 TONS • HEAT PUMP' & AIR CONDITIONER 15 3O TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP B AIR€CONDITIONER:+50::TONS<>= >'»>< <> '<>><>> VENTILATING FANS ........................................ EVAPORATIVE::. �LE ........................... TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II H <. CLOTHES DRYER `RAC\ • GAS LOG . UNLISTED GAS APPLIANCE <400,000 BTU .USED APPUANCE <400,000 BTU AIR HANDLER <10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE pp)77-Jd't" �C (zip) NUMBER . OF UNITS X EACH UNIT = AMOUNT . x 10.00 = x25.00 = x10.00 = x 12.00 = x 15.00 = x1.00 = x12.00 = • x20.00 = x25.00 = x35.00 = x60.00 = x 12.00 = x 20.00 = x•25.00 = x35.00 = x 60.00 = x 10.00 = x 10.00 =^ x50.00 = x10.00 = x10.00= x 10.00 = x 10.00 = x 10.00 = x50.00 = x100.00 = x 50.00 = x100.00 = x12.00= x 15.00 = A c/ • /, - • . • • . .2G • • - • SUBTOTAL $ 73- PLUS: PROCESSING FEE ' + $ 25.00 - _$, 1j_g11,% EQUALS: TOTAL PERMIT FEEDUE 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: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) . gip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION TOILETS :.................................................................... SHOWERS BATHTUBS::; KITCHEN SINKS :DISH€WASHERS> GARBAGE DISPOSAL .................................................. CLOTHESWASHER': »<> >>' ..................................................................... ..................................................................... UTILITY SINKS ELECTRIC; WATERHEATEF FLOOR DRAINS ................................................................... 'FLOOR :SINKS';>> BAR SINKS . . .. ................................................. LAWN SPRINKLER SI=WAGE: EJ ECTOR• ::; WATER SOFTENER ..................... URINAL':i DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE IS.$35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT .=AMOUNT x6.00 = x6.00 = x6.00= x 6.00 = x6.00 = x6.00 =. x 6.00 = x6.00 = x6.00 = x 6.00 = x6.00 = x6.00 = x6.00 = x6.00= x6.00= x 6.00 = x 6.00 = x6.00 = 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