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1992, 10-26 Permit App: 92009348 Gas Log, PipingMECHANICAL PERMIT APPLICATION FORM Intorrnatidit Worksheet • JOB STREET ADDRESS: CITY/STATE/ZIP: ka Q.206_ PARCEL NUMBER: P14,t,..A1-• -41•••••- ' • •--- - . OWNER: Zell) • ck 6.) rs-e-pyt e.r 1\.. PHONE NUMBER: eicy 9 9979 y • . . (City/State) (Zip) LICENSE NUMBER:MA RT IS M170KW PHONE NUMBER: 924-8088 / FAX 924-1688 MAILING ADDRESS:BLDG 103 SPOKANE INDUSTRIAL PARK SPOKANE, WA 99216-1609 (Street) (City/State) (Zp) MECHANICAL WORKSHEET/FEE SCHEDULE MAILING ADDRESS: (Street) CONTRACTOR: MARTIN SHEET METAL INC DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYS Sibil5g6fglift-1,7111.0ttl-2' GAS WATER HEATER ANNOWITITiraELT GAS EQUIPMENT +100,000 BTU DUCTW BOILER/REFRIG 1-100M BTU E":.)1L7=7:7-7-_:=-•i:' POI LERJREFRIG 1,0001-1,750M BTU BOILER/PER!G HEAT PUMP & AIR CONDITIONER 0-3 TC HEAT -.5 - HEAT PUMP & AIR CONDITIONER 15-30.TONS . , „„. HEAT PUMP& AIR CONDITIONER 30-50 TONS EgiMM:=1P. I - e0M5-Ti -1:0-0743§,741, VENTILATING FANS - _ • "ale A TYPE I HOOD (PER 12' OR 12' PTN. OF H000) LWEV-WC,C55.15.MMI giMPRPERF774'..17X'ggr CLOTHES DRYER • • GAS LOG 4'1.:.WET4N:gaTA-0.9-tiGgrfJPLEIL.S.._,t.J/40.3 UNLISTED GAS APPLIANCE <400,000B TU -441.4 USED APPLIANCE <400,000 BTU ;P.,ThEMAJNIIDIWPWW:fil;.e AIR HANDLER <10,000 CFM -A.1447:17S151143-177600' C FM " NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE x 35.00 = x x 12 00 .< x 25.00 = x 35.00 = X 60.00 = x10.00 = x10.00 = x 50.00 = x10.00 = x10.00 = x10.00 = x10.00 = x10.00 = x 50.00 = x100.00 = x50.00 = x100.00 = x 12.00 = x15.00 = / PLUS: PROCESSING FEE Ii 25.00 EQUALS: TOTAL PERMIT FEE DUE =s3' Spokane County Division of Buildings 1•3A., 0 - NUMBER OF UNITS X EACH UNIT = AMOUNT TEMS) x10.00 = x 25.00 = x 10.00 = x12.00 = 15.00 = x 1.00 = x 12.00 = - ORK) . ..:.,...... •x 1 / --- POI LERJREFRIG 1,0001-1,750M BTU BOILER/PER!G HEAT PUMP & AIR CONDITIONER 0-3 TC HEAT -.5 - HEAT PUMP & AIR CONDITIONER 15-30.TONS . , „„. HEAT PUMP& AIR CONDITIONER 30-50 TONS EgiMM:=1P. I - e0M5-Ti -1:0-0743§,741, VENTILATING FANS - _ • "ale A TYPE I HOOD (PER 12' OR 12' PTN. OF H000) LWEV-WC,C55.15.MMI giMPRPERF774'..17X'ggr CLOTHES DRYER • • GAS LOG 4'1.:.WET4N:gaTA-0.9-tiGgrfJPLEIL.S.._,t.J/40.3 UNLISTED GAS APPLIANCE <400,000B TU -441.4 USED APPLIANCE <400,000 BTU ;P.,ThEMAJNIIDIWPWW:fil;.e AIR HANDLER <10,000 CFM -A.1447:17S151143-177600' C FM " NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE x 35.00 = x x 12 00 .< x 25.00 = x 35.00 = X 60.00 = x10.00 = x10.00 = x 50.00 = x10.00 = x10.00 = x10.00 = x10.00 = x10.00 = x 50.00 = x100.00 = x50.00 = x100.00 = x 12.00 = x15.00 = / PLUS: PROCESSING FEE Ii 25.00 EQUALS: TOTAL PERMIT FEE DUE =s3' Spokane County Division of Buildings 1•3A., 0 -