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1992, 10-14 Permit App: 92008883 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: /_- fJ CITY/STATE/ZIP: SjL i' � PARCEL NUMBER: OWNER: K PHONE NUMBER: C 6 _ S MAILING ADDRESS: ' C (Street) (City/State) (Zip) CONTRACTOR: MARTIN SHEET METAL Inc. LICENSE NUMBER: MARTISM170KW 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 = /(,e0 GAS EQUIPMENT <1000, 000 BTU (INCLUDES / x 12 . 00 = j c, GAS EQUIPMENT +1000, 000 BTU DUCTWORK) x 15. 00 = GAS PIPING (EA OUTLET) x 1 . 00 = _ F' C; 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 $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35. 00 FEE DUE = $ 1/(ft SIGNATURE Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675