1993, 01-06 Permit App: 930000068 Range, PipingkVsF'S+0046 ;; I tilid@R E+thsNil 613/41u!1.1) U'VYIIVI
.01.Cux.mat• iori Worksheet
JOB STREET ADDRESS 1/ 7 Pi ✓' e W r •
CITY/STATE/ZIP: r,C� .� - ' . '9 /.PARCEL NUMBER:
OWNER: "qz. Co r.S' , o
MAILING ADDRESS:
(Street)
CONTRACTOR: ANIDERSc.14' S SHEET METAL
PHONE NUMBER: 909- 9 VA -2Z
(City/State) (Zip)
LICENSE NUMBER: ANfERSM158NZ
PHONE NUMBER: 928-0960
MAILING ADDRESS: E. 13903 TRPNP AVE. SPOKANE,
(City/State) 9921(2ip)'
(Street)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT
DUCTWORK SYSTEM
. WOODSTOVE/INSERT
..GAS WATER HEATER
HEATING EQUIPMENT <100,000
•„HEATING; EQUIPMENT +100,000
GAs PIPING (EA OUTLET)
;; . `REFRIG, 4-100M BTU (NOT A/C
.: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 121 OR 121
TYPE If HOOD
CLOTHES DRYER
• RANGE
BTU
BTU
OR HEAT
Yap).-
0-3
UMP)
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 APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10, 0.00 CFM
AIR` HANDLER' >10, 000 CFM•
_ _ _ _• _ _ _
• NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE21
= AMOUNT
X$10.00 =
x 25.00
x moo =
x 12.00 =
R 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 =
/O
SUBTOTAL
$ //
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
H $ 25.00
$ 36
Spokane County Department of Building_ and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675