1991, 08-22 Permit App: 91005221 Mechanical Fixtures JOB STREET ADDRESS:
e.PAR EL NUMBER:
CITY/STATE/ZIP: E
PHONE NUMBER:
OWNER: -
I;. G1i,;.. 24/10
MANTLING ADDRESS: 5 ' (City/State) (Zip)
. . • (Street)
CONTRACTOR: ANDE&SON�S SHEET METAL
LICENSE NUMBER; WF5822
,, PHONE NUMBER: 928-0960
E. 13903 TRENT AVE• SPOKANE, WA. 99216
MAILING ADDRESS. (City/State) (Zip)'
Yr (Street)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
•x$10. 00 =
x 25.00 =
q: DUCTWORK SYSTEM
..� h�00DSTOVE/INSERT x 10.00 =
GAS WATER HEATER .00 = ____4:_m__
HEATING EQUIPMENT <100,000 BTU x 1x 102 .00 =
HEATING .EQUIPMENT +100,000 BTU x 1.00 = �� r�0
.GAS PIPING (EA OUTLET) / x 12.00 =
REFRIG,::1--100M ETU (NOT A/C• OR HEAT PUMP)R„ Fx 20.00 =
RIG. .�01-500M BTU x 25.00 =
" REFRIG 501-1,000M BTU
RE 'RIG 1,001-1,750M BTU x 35.00 =
x 60. 00 =
REFRIG +1,750M BTU _ _ x 12.00 =
HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ / x 20.00 =
HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 25.00 =
HEAT PUMP & AIR CONDITIONER 15-30 TONS _ 5.00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS x 2 x 365.00 =
HEAT. PUMP & AIR CONDITIONER +50 TONS _ _ x 10.00 =
VENTILA'T'ING FANS x 10.00 =
EVAPORATIVE COOLERS x 10.00 =
TYPE I HOOD (PER 12 ' OR 12' PTN. OF' HOOD) x 10.00 =
TYPE II HOOD
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 50:0n =
USED APPLIANCE >400,000 BTU x100.004 =
Al.4.1 R HANDLER <10,000 CFM x 12.00 =
AIR HANDLER >10, 000 CFM ,
x 15. 00 =
SUBTOTAL $ V.r�. c
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT :
``` NOTE: MINIMUM' PERMIT FEE IS $35.00 FEE DUE _ $ $'O. ao
SIGNATURE 3 ' C 44.Cy✓
Ar _
Spokane- County Department of Building_ and Safety
West 1303 Broadway venue Spokane, WA 9 60 (509) 456-3675