1992, 08-07 Permit App: 92006215 Mechanical Fixtures0zc3
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,Ing STREET ADDRESS^
OITY/STATE/ZIP;
MECHANIUAL PERMIT -APP bICA1)ON FORM
InformatJon Worksheet
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PARCEL NUMBER:
PHONE NUMBER:
(Street)
CONTRACTOR RTU of Spokane, Inc.
MAILING ADDRESS: E. 88 Westview Ave.
(City/State) (Zip)
LICENSE NUMBER: RTUSPI*153MA
PHONE NUMBER: (509)467-4000
(Street)
Spokane, WA 99218
(City/State)
(Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF•UNITS UNIT
AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000
HEATING EQUIPMENT +100,000
GAS PIPING (EA OUTLET)
BTU
BTU
REFRIG.1-100M BTU (NOT A/C
gEFRIG 101-500M BTU
FEFRIG 501-1,000M BTU
?EFRIG.1,001-1,750M BTU
EFRIG.+1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
MEAT PUMP &
VENTILATING
EVAPORATIVE
OR HEAT PUMP)
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS _
COOLERS
TYPE I HOOD (PER 12' OR 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
PTN. OF HOOD)
c?‘„,,Loc
MISCELLANEOUS (NOT COVERED ELSEWHERE)
INLISTED_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 12.0C
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 =
/r9/00
a.�
NOTE: MINIMUM PERMS FEE
SIGNATURE
-7,/7I z ;;
SUBTOTAL
$35.00
PLUS: PROCESSING FEE
S 25.00
EQUALS TOTAL PEA191 i I
FEL DUI. 1= S V oo
Spokane County Department of building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675