1991, 11-08 Permit App: 91007696 Mechanical Fixtures�` `f rrk�sr'� '�.�sS�t., e'�d ate? SSueic.n�'ara3�
MECHANICALIPERM( APPI1ICATION'FORP
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CIT,Y/STATEIZIP P
OWNER 'LRRky 1-(A tn'P5o
MAILING ADDRESS: S/� /n C
JQB"STREET ADDRESS
5 oYRni�" f1 " 4.7i2Lr; PARC EL' NUMBER..,'•{•
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PHONE NUMBERa .3`
(Street) (City/State) (Zip
CONTRACTOR. :MSM INC (MARTIN SHEET.METAL INCLICENSE NUMBER:MA RT-IS.M17OKW-/C600',47021O1:
. PHONE NUMBER. 924-8088
MAILING ADDRESSBLDG 103 SPOKANE- INDUSTRIAL PARK SPOKANE; ;WA ' ' '. 99216-1609
(Street)., (City/State) ii..
`.. (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GYOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUiPMENT<100 000 BT'U (INCLUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLb I)
BOILER/REFRIG 1-100M BTU
BOILEWREFRIG 101=500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG.
BOILER/REFRIG +1,750M BTU
HEAT PUMP R COi DIT!OF R 0 3 T ;S
HEAT PUMP 5 AIR CONDI TIONER 3-15 TONS
U p COLD._, _
HEAT PUMP & AIR CONDITIONER 30,-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12PTN. OF HOOD)
TYPEIIHOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE>400,000 BTU
USED APPLIANCE <400,000 BTU l% E C E 1 V Et
USEDAPPLIANCE>400000BTU Novx'1991
AIR HANDLER .<10,000 CFM
:AIR HANDLER -10000 CFM BU9.DING & SAFETY
x 10.00 =
x25.00 =
x 10.00
x 12.00 =
x 15.00
x 1.00
x 12.00
x 20.00
,.:35.00
x 60.00 =
x 12-00 =
x 20.00 =
25.00
x 35-00
x 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 =
x50.00 =
x100.00 =
x 12.00 =
x 15.00 =
/0200
/0 0
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE & U
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTALI PERMIT
FEE DUE
25.00
s 3g00