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1992, 07-08 Permit App: 92005075 AC
til• JOB STREET ADDRESS: CITY/STATE/ZIP:,piektt OWNER: " ev t c� G MAILING ADDRESS: -� e 9a70 6 PARCEL NUMBER: /✓ . ✓ • er I PHONE NUMBER: &' 4/ Qtl 7 (Street) (City/State) (Zip) CONTRACTOR: MSM INC (MARTIN SHEET METAL INCLICENSE NUMBER:MA . RT IS M170KW /C600 470 101 PHONE NUMBER: 924-8088 MAILING ADDRESSBLDG 103 SPOKANE INDUSTRIAL PARK SPOKANE, WA 99216-1609 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE ELE W,. O nvY.4hw GA: :GA GA: .GAS BOL 801 DESCRIPTION NUMBER OF UNITS X EACH UNIT = AMOUNT :CTRIC/DUCTWORK(SEPARATE SYSTEMS) ODSTOVE/..-::S qT �<�r <: :':: >;` z%.n:t: as,a�C:r.�•t�i::... 7aus:�%vii% 3 WATER HEATER 3 EQUIPMENTC1OQ'O00.8 ' NCLUOES-H'>`>=_ .v rrn:vi-:•.vm:::::vp:rhw:}: A,v �..v::v.:.v:•..wnvnx:. Hx:...::.::...:}:.r:r:.,::,:N 3 EQUIPMENT +100,000 BTU DUCTWORK) x 10.00 x25.00 x 10.00 x 12.00 x 15.00 x 1.00 x 12.00 x 20.00 Y ?; ^n = - = = = = -- �c!.G-iYhAi� f= %PIPING (EA OUTCE : ' "` Y ,;r' .:s ..M::nv..v::-v:.--..-ix: ?. ...-.... ••: fi •iv'r�FnK4 LER/REFRIG 1-100M BTU LEI=t/REFS:?lG: 0j:-500 ...: :1: , x ":< : .::.v..:-.:-r,.:n..,...........:.......:.:. � n:.,::-•.}:::,<...• LER/REFRIG 501-1.000M BTU -:.:-r-n4.w: . = :: BOLL ERJREFRIG 1,0001-1,750!.! B T U BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 15-30 HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT.PIJMP Ai.R CONDITIONER +50 TONS ' `` n• ^ivfii�:nv:vn:::r:i:fvxxvnv::i.4::4im..:.--..: ii--.: ...............-.../ VENTILATING FANS - - TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD) ;1L:iw .: fi�'.i': j:v: :.:� :..•y...i:-'i':'i'�-:::}:.::::.s::::}.� is rY,.?::.I.;,.: 4.is..<i}!:.::.::: �TYE?F;=1II�OOD .....::. . CLOTHES DRYER RANGE::: GAS LOG MISCELLANEOUS NOT_COVEREDELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ULINSTEDGAS APPLIANCE,>400,000 BTU USED APPLIANCE <400.000 BTU r:n-�'r•'35:vIF' USEDamA...:.:PUANCrE,54:0,0rQO `8 AIR HANDLER <10,000 CFM AIR HANDLER >y 0;000 CFM • x 60.00 = x`.2.00 -- 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 = x 50.00 = x100.00 = x12.00 = x 15.00 = NOTE: MINIMUM PERMIT FEE IS S35.00 ' SIGNATURE %/r - SUBTOTAL /2 PLUS: PROCESSING FEE 25.00 EQUALS: TOTAL PERMIT FEE DUE $ 37 Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675