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1993, 04-23 Permit App: 93002866 Mechanical FixturesIq �Q Tb Vim' MECHANICAL PERMIT APPLICATION FORM q ( e�- Information Worksheet JOB STREET ADDRESS: ' N-62/5. (4_/a ) CITY/STATE/ZIP:cpiegi tag 9 4'b PARCEL NUMBER: OWNER' 720.67 74/7 PHONE NUMBER. 7P�-���� MAILING ADDRESS: i (Street) CONTRACTOR: RTU of Spokane MAILING ADDRESS: (City/State) (ZiP) LICENSE NUMBER: RTUSPI*153MA PHONE NUMBER: (509) 467-4000 E. 88 Westview Spokane, WA 99218 (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK SEPARATE SYSTEM 4.049A 411 - GAS WATER HEATER GAS EQUIPMENT+100,000 BTU DUCTWOR BOILER/R_EFRIG 1-100M BTU (��yy p% � FESSstr e �., a. e.'%)^ii'ti BOILERIREFRIG 601-1,000M BTU I_' itgiggitaL BOILERIREFRIG.�j+1,750jM BTU fa.�I 7dAy els' •.'a. 11.8 `�e`dFw HEAT PUMP & AIR CONDITIONER 3-15 TONS P HEAT PUMP & AIR CONDITIONER 3050 TONS VENTILATINIVAttG y FAN!. tiaraptisk TYPE I HOOD (PER 12' OR 12' PTN. OF (4000) x CLOTHES DRYER GAS LOG UNLISTED GAS APPLIANCE <400,000 BTU igeiliz IMOD USED APPLIANCE <400,000 BTU AIR HANDLER <10,000 CFM WRIPAILage NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATOR (zip) NUMBER OF UNITS X EACH . UNIT = AMOUNT x10.00 = x 25.00 = x10.00 = X12,00 = x 15.00 = x 1.00 = x 12.00 = x20.00 = ,x•25.00 = x35.00 = x60.00 = x12.00 = x 20.00 a x 25.00 = x35.00 = x60.00 = x 10.00 = x10.00 = x60.00 = x 10.00 = x10.00 = x10.00 = /0.00 ia•ov 9, o't- 00 _ /a -OU x10.00= x10.00 s x50.00 s X100.00 = x 50.00 = x100.00 = x 12.00 = X15.00 - SUBTOTAL $ 34 _00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE _$ (7-00 Spokane County Division of Buildings