1992, 07-24 Permit App: 92005689 Water Heater, PipingL15lt0l ae51 �9>�
g4
��� MECHANICAL PERMIT APPLICATION FORM
JOB STREET ADDRESS:lib le 4 56 eseJ d
Information W t Seit
5(0-7
-73\-7
CITY/STATE/ZIP: 3 k d •I'4i L PARCEL NUMBER:
OWNER: 1a a� k 1 lc • PHONE NUMBER: 9211 / "8
�
MAILING ADDRESS: 34 n•-•
(Street)
CONTRACTOR: MARTIN SHEET METAL INC
(City/State) (Zap)
LICENSE NUMBER:MA RT IS M170KW
PHONE NUMBER: 924-8088 / ' FAX .924-1688
MAILING ADDRESS: BLDG 103 SPOKANE INDUSTRIAL PARK SPOKANE, WA 99216-1609
DESCRIPT
ELECTRIC/DUC
GAS WATER HEI
...Rv'ieii:ifviiLWiii: ::iiia:.ii
GAS EQUIPMENT
GAS; PIPIT G•
{E
BOILER/REFRIG
.EPI? G
Pf?II._ERIREFRIG 5n4 1 0TIx.,,s PTS_
BO1LER/REFRIG +1,750M BTU
HEAT POMP &`AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT:PUMP & A: ; GGNDITiONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
(Street) (City/State) (gyp)
CHANICAL WORKSHEET/FEE SCHEDULE
ION
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
NORK (SEPARATE SYSTEMS)
x 10.00 =
x25 .00 =
x10.00 =
x 12.00
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
R
—-.;--;:>:>;::::-
_.��•:....... a.«.::. .�,
' +100,000 BTU DUCTWORK)
1,
AUT
1-100M BTU ���I �'�
/�'
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
•w,,.;C�.`�.�s:.ts<;:;::;::<t!<-.s.:.:: ii:.;_.;i:i:i;:ii�:i:::;:ciid;;i:;:a:i; �. z::_;_:::>;_� �::::;_:;:;:r:::::;
RANGE:'
GAS LOG
MISG.ELIANEOUS(NOT COVERED ELSEWHER
E<>
UNLISTED GAS APPLIANCE <400,000 BTU
UUNSTED`GAS -APPLIANCE0499. OOQ_ BT.
:
USED APPLIANCE <400,000 BTU
AIR HANDLER <10,000 CFM
x 60.00 =
x 20.00 =
x 35.00 =
Xx 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 =
{ U L 2 19S2
NOTE: MINIMUM PERMIT BrAgit$41.603,AFETY
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
$ 13
+ $ 25.00
Spokane County Division of Buildings
a ,
West 1303 Broadway venue Spokane, WA 99260 (509,