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1992, 07-08 Permit App: 92005086 AC
:JOBySTREET ADDRESS: {CI'/S TATE/ZIP' OWNEFr"%: f rrY1*S_ MAIL NG ADDRESS: i !PAL'? EFMAPPIU-- lnfontiatio'n Workshet 01 �L,+ • PARC L NUIn18ER 525 -• 077' _," . I Pt- PHONE NUMBER vi.1/ 9' (Street) (City/State) (Zip) • :CONTRACTOR: MSM INC (MARTIN SHEET METAL INC LICENSE NUMBER:MA RT IS:h1170KW /C600 470. 101 J. PHONE NUMBER:'. 924-8088 MAILING ADDRESSBLDG .103 SPOKANE INDUSTRIAL PARK . SPOKANE, Y,WA -' 99216-1609 (Street) (City/State) "- (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) W_OODSTOVE/INSERT GAS WATER HEATER GAS1EQUIPMENT<100 000 BTU (INCLUDES GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING' (EA OUTLET) " BOILER/REFRIG 1-100M BTU BOILER/REFRIG 1oi sboMI3TU BOILER/RE.FRIG 501-1.000M ETU 000 STU BOILER/REFRIG +1,750M BTU HEAT PUU° & ^IR COi'D: r ONER v -. TG`;S HEAT PUMP 8 AIR CONDITIONER 3-15 TONS .,E; AIR CoNDITIONEPHS-20 TONS HEAT -PUMP & A!R CONDI i iONER 30-50 TONS HEAT PUMPS AIR CONDITIONER +50 :TONS • ?' VENT LATING FANS ... EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN OF HOOD) TYPEIIHOOD . ,........... • CLOTHES DRYER RANGEE GAS LOG MISCELLANEOUS NOT COVERED: ELSEWHERE- UNLISTED,GAS APPLIANCE <400,000.BT.0 ULINSTED;GAS APPLIANCE>400 000 BTU {USED APPLIANCE <400 000 BTU r ` USED APpLlANCE>400,000 BTU '" J. . AIR1HANDLER <10,000 CFM { 1 AIR HANDLCER- 10 000 CFM. NUMBER OF UNITS X EACH UNIT , = AMOUNT' x 10.00 = x25.00 = x10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x60.00 = x 12.00 = x 20.00 = . 2x.00 c. x 35.00 = x60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = ` x 10.00 = x 10.00 = x10.00 = x 10.00 = x'50.00. = i100.00 = :x50.00 Jx100 00 = -- ;x12.00 = . x:15:00 / a-. f SUBTOTAL:_,"- _ S 41'; :.• PLUS>PROCESSING.FEE• ;' .+g ._ 25 00"v EQUALS TOTALkPERiv11T SpokanexCounty,Dlviston,of Bu ldu gs _ } est 303eBroadway Wray. enuehSpokane WA419-§g6 (509)°4`56 '3675/,