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