1991, 09-17 Permit App: 91005976 Mechanical Fixtures30B STREET ADDRESS;
CITY/STATE/ZIP:_
OWNER: '"rml-t."
MAILINGjADDRESS:
,:1:i"Stlatft.o 1 worksheet
/21 l�
W,F
721,4 PARCEL NUMBER:
(Street)
CONTRACTOR : ANDERSON S SHEET METAL
MAILING .ADDRESS: E. 13903 TRENT AVE.
(Street)
PHONE NUMBEr :
5.11
' (City/
tate)
(Zip)
LICENSE NUMBER: �►
PHONE NUMBER: 928-0960
SPOKANE, WA. 99216
(City/State) (Zip)'
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER x
C EEDULEX EACH
OF UNITS UNIT
DESCRIPTION
DUCTWORK SYSTEM
=* WOODSTOVE/INSERT
`'GAS WATER HEATER
.HEATING EQUIPMENT <100,000 BTU
HEATINGEQUZPMENT +100,000 BTU
GAS` PIPING (EA OUTLET)-
_ ..
`REFRIG, ;1-10OM BTU: (NOT A/C OR HEAT PUMP)
,R, FRIG. „x.01 -500M BTU
REFRIG501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
'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 T HOOD (PER 12' OR 12'
TYPE II 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 _
UNLISTED: GAS APPLIANCE >400,000 BTU:_ _
USED-AI?,PLLANCE <400,000 BTU
USED 'APPLIANCE >400,000 BTU
;,+, AIR HANDLER <10,000 CFM
,AIRHANDLER'>10,000 CFM
l
2
= AMOUNT
X$10.00 =
x 25.00 =
x 10.0o -
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 =
lc 50.00 =
x100.00' =
x 12.00 =
x 15.00 =
/a• a,
•
a
/0. ro
NOTE: MINIMUM' PERMIT FEE IS $35..00
SIGNATURE
SUBTOTAL
$ 3y . 00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
$
Spokane- County Department of Building_and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675