1993, 06-07 Permit App: 93004388 Mechanical Fixturesvsv'1a. 1973 MECIIANICAL PEiZMf1' APPLICATION FORM
Information Worksheet
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JOB STREET ADDRESS:
93-U3er
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CITY/STATE/ZIP:9pa, (A )PC PARCEL NUMBER: (�
OWNER: Qt Y1'&,Q PHONE NUMBER: 7 �^,'nn9, r 4/3
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MAILING ADDRESS: �J 1965 S. ?,() 021AY't i*. i-_-' • Cat, /0 A -
2200
(Street) J (C ty/State) (Zip)
CONTRACTOR: MARTIN SHEET METAL inc. LICENSE NUMBER: MARTISM170KW
PHONE NUMBER: 924-8088
MAILING ADDRESS: BLDG. #103 SPOKANE TNDIISTRIAL PARK SPOKANE, WASHINGTON 99216
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <1000,000 BTU (INCLUDES
GAS EQUIPMENT +1000,000 BTU _DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 101-500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,001-1,750M BTU
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 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU
UNLISTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
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 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
/0.00
07 00
NOTE: MI M" P fI FEE 7tiS.$35.9'0
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
$ 2V.00
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $19.00
Spokane County Department of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675