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1991, 10-24 Permit App: 91007153 Furnace, Piping
Worksheet 3OB STREET ADDRESS : lV a 3 / S1 o . m fl.L CITY/STATE/ZIP: ; a _! .4 - 99-2/z- PARCEL NUMBER: •OWNER: MAILING ADDRESS: 1e '3/- 11,S' PHONE NUMBER:_ljuL=s2/1____/i 2 (Street) CONTRACTOR: ANDERSON ' S SHEAT METAL MAILING ADDRESS: 13903 TRENT AVE. (Street) MECHANICAL WORKSHEET/FEE SCHEDULE 2/2.- (City/State) /z- (City/State) (Zip) LICENSE NUMBER: a VERSE 58N7 - - PHONE NUMBER: 928-0960 SPOKANE, WA. 99216 (City/State) (Zip)' DESCRIPTION ry- DUCTWORK SYSTEM _• WOODSTOVE/INSERT • GAS WATER HEATER '.SiEATING EQUIPMENT <100,000 HEATING,EQUIPMENT +100,000 GAS' PIPING (EA OUTLET) .. REFRIO.:1-100M BTU (NOT A/C RFRIG.To1-500M BTU EPRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU BTU BTU BR -HEAT PUMP) `HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT;PUMP & AIR CONDITIONER ..,VENTILATING FANS *EVAPORATIVE COOLERS .TYPE I HOOD (PER 12' OR 12' TYPE IT HOOD CLOTHES DRYER RANGE 0-3 TONS _ 3-15 TONS _ 15-30 TONS 30-50 TONS _ +50 TONS PTN. OF HOOD) GAS. LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) ,UNLISTED GAS APPLIANCE <400,000 BTU . UNLISTEDGAS APPLIANCE >400,000 BTU__ _ USED-AP.,PLIANCE <400,000 BTU USED 'APPLIANCE >400,000 BTU ;AIR HANDLER <1010.00 CFM AIR HANDLER' >10, 000 CFM OFUUNITS XUNITH = 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 = x 25.00 = x 35.00 x 60.00 = x 10.00 = x 10.00 = X50.00 = 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 = ra.o� 1. 09 NOTE: SIGNATURE MINIMUM' PERMIT FEE IS $35.00 SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ 3Q• ao Spokane- County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675