1993, 01-06 Permit App: 93000065 Water Heater, Piping---3b17:5\.(..--1166'. tdtiti 16,,, 0 ,+ ::: ��►a�'A' E PPp,.uUAUuJ1)W
e. g -CV .0i.Cax.mat•ion Worksheet
3QB STREET ADDRESS: 72 / 7 E . G i roof
CITY/STATE/ZIP: 50 a/ o , 99A/.2.
OWNER: c! % GQO S'S
MAILING ADDRESS:
(Street)
CONTRACTOR: ANDERSON'S SHEET METAL
PARCEL NUMBER:
PHONE NUMBER: 9v9 -e- ' VI Sj
(City/State) (Zip)
LICENSE NUMBER: jmulamSM1 BNZ
PHONE NUMBER: 928-0960
MAILING .ADDRESS: E. 13903 TRENT AVE. SPUME, WA
(Street)
(City/State
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
9921,
(Zip)'
DUCTWORK SYSTEM
WOODSTOVE/INSERT
.,GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
„HEATING; EQUIPMENT +100,000 BTU
;GASPIPING (EA OUTLET) .., _ _
REFRIG.1-100M BTU (NOT A/C 6R -HEAT PUMP)
.:REFRIG 101-500M BTU
REFRIG'501-1,000M 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 I HOOD (PER 12' OR 12'
TYPE It HOOD
0-3 TONS _ _
3-15 TONS _
15-30 TONS _
30-50 TONS
+50 TONS
PTN. or HOOD)
CLOTHES DRYER
RANGE .
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
:`' +i :AIR HANDLER <10, 0.00 CFM
.AIR HANDLER'>10,000 CFM
/
= 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 =
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 =
-
'VOTE: MINIMUM PE
SIGNATURE .�
IT FEE IS $35.,00
SUBTOTAL
$ l/
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
4 $ 25.00
0
= $ 3c -
Spokane County Department of Building and Safety
West -1303 Broadwav Avenue Spokane, WA 99260