HomeMy WebLinkAbout1993, 02-09 Permit App: 93000750 Mechanical FixturesLic,ocV , 31bLi � M'IECI IC
IANAL MEOW APPLICATION 1� M
OR
- Ou'VC-�- Q7q-2. Information Worksheet
vpyNJOB STREET ADDRESS : / -/ (. -f I.', 1' % �
CITY/STATE/ZIP:._'�}'(., PARCEL NUMBER:
OWNER: /rik;. . I
MAILING ADDRESS:
(Street)
CONTRACTOR: MARTIN SKEET METAL inc.
PHONE NUMBER:
9-S---/7 5°
(City/State) (Zip)
LICENSE NUMBER: MARTISM170KW
PRONE NUMBER: 924-8088
MAILING ADDRESS: BLDG. #103 SPOKANE INDUSTRIAL 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 BEATER
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
BEAT 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'TPTN. 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
9
1
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 =
l 6'L
/
NOTE: MINIMUM FERMI FEE IS $35.00
SIGNATURE :{,9" qcn
Spokane County Department of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=
1.-� :,