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1993, 06-07 Permit App: 93004389 Mechanical Fixtures t‘i lJA IANILAL I' +,1(10.11 AI'VLILLI 1 ION 1,0(01 93- (f 3o Information Worksheet JOB STREET ADDRESS: / 4-172 liOO a _ 10 (19 CITY/STATE/ZIP: )Cs�; Q / / P CE `4 L NUMBER: OWNER: �P &67 /01)Cr J PHONE NUMBER: 92E e"-M3 MAILING ADDRESS: )vrt.12_, (Street) (City/State) (Zip) CONTRACTOR: MARTIN SHEET' METAL Inc. LICENSE NUMBER: MARTESM170KW PHONE NUMBER: 924-8088 MAILING ADDRESS: BLDG. #103 SPOKANE INDUSTRIAL PARK SPOKANE, WASHINGTON 99216 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) _ _ x$10. 00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER / x 10. 00 = Jo .60 GAS EQUIPMENT <1000, 000 BTU_ (INCLUDES _ J x 12 . 00 = J0-2 0Q GAS EQUIPMENT +1000, 000 BTU_ _DUCTWORK)_ x 15. 00 = GAS PIPING (EA OUTLET) 3 x 1. 00 = CAD BOILER/REFRIG 1-100M BTU x 12 . 00 = BOILER/REFRIG 101-500M BTU x 20. 00 = BOILER/REFRIG 501-1, 000M BTU x 25. 00 = BOILER/REFRIG 1, 001-1, 750M BTU x 35. 00 = BOILER/REFRIG +1,750M BTU x 60. 00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 12 . 00 = HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20. 00 = HEAT PUMP & AIR CONDITIONER 15-30 TONS x 25. 00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS x 35. 00 = HEAT PUMP & AIR CONDITIONER +50 TONS _ _ x 60. 00 = VENTILATING FANS x 10. 00 = EVAPORATIVE COOLERS x 10. 00 = TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 50. 00 = TYPE II HOOD x 10. 00 = CLOTHES DRYER x 10. 00 = RANGE x 10. 00 = GAS LOG x 10. 00 = MISCELLANEOUS (NOT COVERED ELSEWHERE) x 10. 00 = UNLISTED GAS APPLIANCE <400, 000 BTU_ _ x 50. 00 = UNLISTED GAS APPLIANCE >400, 000 BTU x100. 00 = USED APPLIANCE <400, 000 BTU x 50. 00 = USED APPLIANCE >400, 000 BTU x100. 00 = AIR HANDLER <10, 000 CFM x 12 . 00 = AIR HANDLER >10, 000 CFM x 15 . 00 = SUBTOTAL $25 00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: M UP,E II TTE 'FIS $35. 00 FEE DUE = sc5a coo SIGNATURE /r/ � NE e�-A�'IL-Ev[ -e_ Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675