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1993, 04-20 Permit App 93002670 Water Heater``5 nll,,llANICAL VLARMIT APPLICATIONPORN-1g3.2(alD qo1 6_1Zp a Informatiop worksheet JOB STREET ADDRESS: //1/Q 3 f� (SiJ(,((�i{/,( /c 5 CITY/STATE/ZIPkD / f W/+ //212 PARCEL NUMBER: OWNER: PHONE NUMBER: M? -16,5,45 MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: MARTIN SIIEE'P METAL inc. LICENSE NUMBER: MARTISM176KW 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) _ _ WOODSTOVE/INSERT _ _ _ _ _ _ _ _ _ _ _ _ GAS WATER HEATER _ GAS EQUIPMENT <1000,000 BTU (INCLUDES GAS EQUIPMENT +1000,000 BTR DUCTWORK)_ GAS PIPING (EA OUTLET) _ _ _ _ _ _ _ _ _ BOILER/REFRIG 1-100M BTU'_ _ _ _ _ _ _ _ BOILER/RF,FRIG 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 _ NEAT PUMP & AIR CONDITIONER 3-15 TONS _ NEAT PUMP & AIR CONDITIONER 15-30 TONS _ NEAT PUMP & AIR CONDITIONER 30-50 TONS _ NEAT 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 y MISCELLANEOUS -(ROT COVERED CLSEWNERE)_ _ 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 = r. 60.00 = r. 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 SUBTOTAL I $ aI PLUS: PROCESSING FEE I+ $ 25.00 EQUALS: TOTAL PERMIT /1 NOTES M �i R� FEV -16 $35 00 I FEE DUE _ $ Ul/ SIGNA9'URE Spokane County Dep:u•tiNent of Buildings \Vest 1303 llroadway Avenue Spokane, \VA 99260 (509) 456-3675