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1991, 11-05 Permit App: 91007563 Mechanical Fixtures.,•tia, ,C1lEormat1Of worKsttear. ,SOB STREET ADDRESS: /(I /50 (14 C5p'S5/E RIX 91- %J� 6-3 CITY/STATE/ZIP: SPQ J(A/✓E �'4 / 2a/ PARCEL NUMBER: OWNER: 'MR ,;AA akEcAm-✓RG 4KtLING ADDRESS: NJ30. 8FSSIl 82? (Street) CONTRACTOR: ANDERSON'S SHEEP METAL LICENSE PHONE NUMBER: MAILING ADDRESS: E. 13903 TRENT AVE. (Street) PHONE HQ-to-11ms* S ADP y iSs�ll-�5 ,3 7cr.T ?z4 8lS9 5/0M/4 MI 99z12., (City/State) (Zip) NUMBER: ANDERSM158NZ NUMBER: 928-0960 SPOKANE, WA. 99216 (City/State) (Zip)• MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER OF UNITS DESCRIPTION ''• DUCTWORK SYSTEM . WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 HEATING, EQUIPMENT +100400 GASPIPING (EA OUTLET) . REFRIGI-100M BTU (NOT A/C OR HEAT PUMP) REFRIG101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU & AIR CONDITIONER & AIR CONDITIONER & AIR CONDITIONER & AIR CONDITIONER & AIR CONDITIONER BTU BTU `HEAT PUMP . HEAT PUMP HEAT PUMP HEAT PUMP HEAT, PUMP VENTILATING FANS EVAPORATIVE COOLERS .TYPE I HOOD (PER 12' OR 12' TYPE IY HOOD CLOTHES DRYER RANGE GAS LOG 0-3 TONS 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS PTN. OF HOOD) MISCELLANEOUS (NOT COVERED ELSEWHERE) .UNLISTED GAS APPLIANCE <400,000 BTU UNLISTED GAS APPLIANCE >400,000 BTU USED -APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM .AZR'HANDLER'>10,000 CFM 4 X EACH t'NIT 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 x100.00 x 50.00 x100.00' x 12.00 x 15.00 = AMOUNT 4. 00 NOTE: MIN M PERM EEE IS $35.00 SIGNATURE �f� r SUBTOTAL S /x.00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 39, 1 Spokane:: County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675