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1993, 04-26 Permit App: 93002920 Stove, Piping• % L l(a. )'''' Tf'l1,LI1A1V1LAL I'L' lrO11 A1'I'L1l;A 11UEV 1'111c1\1 I\D,,, /6° C-7‘1(6-`-'1'S -c1 (6..3 Qc Information%% Worksheet 3011 STREET ADDRESS: 8 6 5 6 V ' CITY/STATE/ZIP: 34007 /0AP) 10 J OWNER: JJO',� 6l ,32L1 (Street) CONTRACTOR: MARTIN SHEET METAL Inc. MAILING ADDRESS`. C .. L, CEJ lv 5. 9 PARCEL NUMBEI/: PHONE NUMBER: 92? - 7-5 7L11 (City/State) (Zip) LICENSE NUMBER: PHONE NUMBER: MARTISM170KW 924-8088 MAILING ADDRESS: 131,DG. 11103 SPOKANE; INDUSTRIAL PARK SPOKANE, WASHINGTON 99216 (City/State) (Zip) (Street) 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 BEAT 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 _ GAS6_ _ �j MISCELLA EOUS (NOT COVE1Z D ELSEW ERE)_ 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 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 = /00 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE $ia,©0{ + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE Spokane County Department of Buildings Wes( 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675