1992, 07-20 Permit App: 92005491 Mechanical FixturesjOB STREET ADDRESS:
H P,P11,11A6Pitiliod a.uvuvu
.01Ki.lo:matjon'Worksheet
N 5113 __Cg S •
CITY/STATE/ZIP: $fbkac.IL.JAL. 99,2/4,
OWNER:
MAILING ADDRESS: N, Si 13 a cotav s
(Street)
CONTRACTOR: ANIMISM'S SHEET METAL
MAILING ADDRESS: E. 13903 TRENT AVE.
PARCEL NUMBER:
PHONE NUMBER:
Ao.
LICENSE
PHONE
‘12.q -'7V0.3
Se0k/tAWI (4/
(City/State) (Zip)
NUMBER:JmORM1158NZ
NUMBER: 928-0960
(Street)
SPOKANE, WA_
(City/State)
9.9216
(Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DUCTWORK SYSTEM
• WOODSTOVE/INSERT
.cAs WATER HEATER
HEATING EQUIPMENT <100,000
',HEATING EQUIPMENT +100,000
:GAS PIPING (EA OUTLET)
..REFRIG 1-100M BTU (NOT X/E
.R) FRIG .101-500M BTU
REFRIG-501-1,000M BTU
, REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
BTU
BTU
ORHEATPUMP)
'HEAT PUMP & AIR CONDITIONER
-HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT,PUMP & AIR CONDITIONER
• ..VENTILATING FANS
0-3 TONS _ _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12'
TYPE II HOOD
CLOTHES DRYER
,RANGE
PTN. OF HOOD)
GAS LOG
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 <10,0.00 CFM
HANDLER'>10,000 CFM
4
Spokane County Department of Building_ and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
= AMOUNT
x$10.00
x 25.0,0
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
/0 I ft>
/2 . trO•
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE A!?
SUBTOTAL
PLUS: PROCESSING FEE
$ 34. lb
$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
$ '