1992, 09-30 Permit App: 92008168 Mechanical Fixtures5;;1e'=I815
MECHANICAL I EFif411T APPLICATION #(0F1141:
RM
Inturrnation .Worksfieet:•=
O.8'STREET ADDRESS: 'S; •'c2 1) FAW /\j .D 12:
• U ?s
• !CITY/STATE/ZIP:;;W-lI•' .S 1C4toN b/e•PARCELNUMBER:''
OWNER: L0 N NO KE7uSO/1) PHONE NUMBER:
•
:J.:MAILING ADDRESS: Sgl1 e
(Street)
44;CONTRACTOR: MARTIN SHEET METAL INC
'MAILING ADDRESS:BLDG
:(City/State)'?
LICENSE NUMBER:MA RT IS M170KW
PHONE NUMBER: 924-8088 / FAX .924=1688: -/
103 SPOKANE INDUSTRIAL PARK SPOKANE, WA 99216-1609'.t'`.
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
;WOODSTOVE/INSEFT >::°.µ: 2:.:">:=.:;r=
GAS WATER HEATER
(GAS tifiu P MENT. 00 000 BWr(INELUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS_,PIPING (EA;;OUTLET)
BOILER/REFRIG 1-100M BTU
BGILER == 1G -5.,;;:' BTU _ ,- i,u0ui i BTU
U
BOILER/REFRIG 1 0001=1;750M'BTU
BOILERJREFRIG ÷1,750M BTU
HEAT PUMP :B'AIR CONDITIONER 0-3 TONS
HEAT PUMP 8 ,AIR :,ONDI T 1ONER 3-1 5
:H EAT RUM P:&-AIR.CONDITION ER 15=30 TONS
HEAT:PUMP & AIR CONDITIONER 30=50 TONS
i Eli`f;GP1lMP 61R CONDI_TIONE 50 TONS; %
VENTILATING FANS .=:_
NUMBER
OF UNITS
XEACH
UNIT
= AMOUNT
ca.
EVAPORAI�%E°.COOLER -'' r•%"
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
'r:
CLOTHES DRYER
'RANGE"`
GAS LOG
•MISCELLANEOUS'(N.OTCOVERED:ELSEWHERE' :>
UNLISTED GAS APPLIANCE •t400,000 BTU
ULINSTED'GAS�APPLIAN ,
::......:.....:.::,,_i.,:,,..,..:,,„�::::.:..:.C.E>400000 BTU
- _USED.APPLIANCE <400,000 BTU. -
-•:.USEDrAPPL1A�tCE,,d00;000'BTi)
AIR HANDLER <10,000 CFM
AIR HANDLE14:510;000 CFM_
x 10.00 =
x 25.00
x 10.00
x72,00
x 15.00
x 1.00
x 12.00
x 23.012
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 =
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 =
i'ac
=2o 0,
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTALP.ERMIT
- FEE DUE "•
Spokane County Division of Buildings