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1993, 05-18 Permit App: 93003614 AC
4 rye,: £ui ux.malion Worksheet , I b`7 5ct 1, JOB STREET ADDRESS: 3;1.4 JT vre y .-2-7 ,-74- CITY/STATE/ZIP: -2-7 ,?c%CITY/STATE/ZIP: 3'C'/'°ne Gc-%/i/- %7- 1 PARCEL NUMBER: -1 r P- / - /;2--)72.-- 4,.,, 'a t- L� OWNER: ;Jc �f /� PHONE NUMBER: �� / �L 'Y--- MAILING ADDRESS: // G/3 t oil -_ ,. ,0 --K e Gni 9 y/-- O (Street) (City/State) (Zip) AAA CONTRACTOR: ANDERSON 1 S SHEET METAL LICENSE NUMBER: nSM1 rcRNZ r ,.. " . 928-0960 PHONE NUMBER. MAILING ADDRESS: E. 13903 TRENT AVE. SPOKANE, WA_ 99716 (Street) (City/State) (Zip)' . .,. MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM _ •x$10.00 = WOODSTOVE/INSERT .., x 10.00 = .GAS WATER HEATER - HEATING EQUIPMENT <100,000 BTU _ x 12.00 = „HEATING. EQUIPMENT +100,000 BTU Is 15.00 = GAS PIPINO (EA OUTLET) x 1.00 = REFRIG ;:1-100M BTU. (NOT A/C OR-HEAT PUMP) x 12.00 = •. .:REFRIG 101-500M BTU x 20.00 = '•'' REFRIG 501-1,000M BTU x 25.00 = REFRIG 1,001-1,750M BTU x 35. 00 = REFRIG +1,750M BTUx 60. 00 = _ 'HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ / x 12.00 = /.9.- �� _ •HEAT PUMP & AIR CONDITIONER 3-15 TONS _ It 20. 00 = HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 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 COOLERS ., x 10.00 = . TYPE I HOOD (PER 12T R 121 PTN. OF' HOOD) x50.00 = " TYPE II HOOD x 10.00 = CLOTHES DRYER x 10.00 = RANGE . x 10.00 = GAS LOG 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' = ,,,j , AIR HANDLER <10,0.00 CFM __ . 'x 12 . 00 = .A/R''HANDLER' >10,000 CFM x 15. 00 = SUBTOTAL $ 1 `� PLUS: PROCESSING FEE -1- $ 25.00 ',yin EQUALS: TOTAL PERMIT di NOTE: MINI UM PERMIT FEE IS $35.00 FEE DUE = $ J 7 " '6'` SIGNATURE , 706---- 1 ---- Spokane County Department of Building_ and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675