1992, 10-12 Permit App: 92008763 Water Heater, Piping"t,/ ►,cJec• `"t 1, $T � t1'' N'u+Wish(,,, i !::Ati r l�. h''�i���,.0 it��lUH!1��f1`I
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L-4 Q,j) Xlikox na t.ion Worksheet15-
3Q.B STREETADDRESS: 7S% R- tF7., f'-
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CITY/STATE/ZIP: 5:p ka,s , G/% 9%2. --PARCEL
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OWNER: ' /V
i'S C� rt 74 e /�i1
,�„r. �,., .tet
MAILING ADDRESS: 76-1 -
F. S,•.r fo
(Street)
CONTRACTOR: ANDERSON'S SHEET METAL
PHONE
NUMBER:
NUMBER: ,..:7„2_6-
0
•,:7 6
City/State) (Zip)
NUMBER: AN ERMI SRN7.
NAILING ADDRESS: E. 13903 TRENT AVE.
LICENSE
PHONE NUMBER: 928-0960
(Street)
SPOKANE, WA.
(City/Stats)
99216
(Zip)•
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION OFUUNITS XS
DUCTWORK SYSTEM
WOODSTOVE/INSERT
.GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
• HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET) _ _ _
REFRIG 1-100M BTU (NOT A/C OR -HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
'HEAT PUMP & AIR CONDXTXONER
'HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT,PUMP & AIR CONDITIONER
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PIN. OFHOOD)
" TYPE I$ HOOD
CLOTHES DRYER
RANGE
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
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 <10,000 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
It 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
ia
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE 2
Art
1
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE