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1993, 04-13 Permit App: 93002456 Mechanical Fixtures1 Q-��3155. l oZ� P x a -Lion Worksheet 011 q 4, -QB STREET ADDRESS: CITY/STATE/ZIP: 5f 2 PARCEL NUMBER: OWNER :(-�7S4 lCh1ho"DAI PHONE NUMBER: 799'- 31qq--- MAI LING ADDRESS: L- - L//,3 3 0 I-YALe (Street) (City/Sta!te) (zip) CONTRACTOR: ANDERSON'S SHEET METAL LICENSE NUMBER: -ANDERSM1 rRN7 PHONE NUMBER. 928-0960 MAILING ADDRESS: E. 13903 TRENT AVE. (Street) ....MECHANICAL WORKSHEET/FEE DESCRIPTION Spm, SCHEDULE NUMBER OF UNITS WA_ (City/State) X EACH TINIT X$10.00 9921 (; (Zip) = AMOUNT DUCTWORK SYSTEM______-_,_____ - - - - - - - - - - - - WOODSTOVE/INSER7T x 25.0.0 - - _,- - --- - - - - rGAS WATER HEATER. x 10.00 . . . . . . . ... BTU ,HEATING EQUIPMENT <100,000 BTU z x 12.00 EQUIPMENT +100,000 BTU- x 15.00 .,,..HEATING - - - - .GAS PIPING (EA OUTLET) !REFRIG.,l-l00M x 1.00 -- BTU (NOT A/C "6R7HUEATE FuRP) x 12.00 REFRIG BTU x 20.00 .103.-500M - - - - -- - - - - REFRIG 501-1,000M OTC x 25.00 - - - - - - - - - REFRIG 1,001-1,750M BTU_ - - - - - - - - x 35.00 I. REFRIG +10750M BTU x 60.00 - - - - - - - REAT PUMP & AIR COND015NIR 0-3 TONS x 12.00 "HEAT PUMP & AIR CONDITIONER 3-15 TONS x 20.00 -HEAT PUMP & AIR CONDITIONER 15-30 TONSx 25.00 ,HEAT PUMP & AIR CONDITIONER 30-50 TONS x 35.00 HEAT,PUMP & AIR CONDITIONER +50 TONS x 60.00 ..VENTILATING FANS_x 10.00 -EVAPORATIVE C0oLEjjs - - - - - - - - - - x 10.00 TYPE I HOOD (PER 121 OR 121 PTN. OF_ -HOOD) x50.00 TYPE If HOOD_x - - - - - 10.00 - - - - - - - - CLOTHES DRYER� x 10.00 RANGE - - - - - - - - - x 10.00 - - - - - - - - GAS COG x 10.00 MISCELLANEOUS (NOT COVERED ELSEWHERE) x 10.00 UNLISTED GAS APPLIANCE <400,000 BTU x 50.00 UNLISTED.GAS APPLIANCE >400,000 BTU - - - X100.00 USED APPLIANCE <400,000 BTU x 50.00 USED APPLIANCE >400,000 BTU X100.00'= AIR HANDLER <1010.00 CFM - - - - - - - - X 12.00 = - - - - - - - AIA'HANDLER'>10,000 CFM - - - - - - - - x 15.00 = SUBTOTAL I'$ 13 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT, <NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE $ SIGNATURE Sgokane CoOntX Department of Bulldinaand Safety West 1303 Broadway AVOHUO Spokane, WA 260 (509) 456-3675