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1992, 12-08 Permit App: 92010767 Mechanical FixturesLO -3 -?J' Cke01 vy.LS� (� zoc:° ( MECHANICAL PEHMI1` APPLICATION FORM r�`' *Informatibn'Worksheet ,1?WJ STREET ADDRESS : S f I ()CM t ( t- C� .`�-� im_ c c!c1L.c U-. OITY/STATE/ZIP: J ,1f1Cit Q , WO, PARCEL NUMBER: OEB:,,Av`it� i k-Il`L .C(�� 3t(xi i('\Lcc . PHONE NUN BER : `3f1mw, 9-22,1 GI (Q7 (Street) CONTRACTOR: 'KTU of Spokane, Inc_ MAILING ADDRESS: E- 88 Westview Ave_ fINIW (Street) ((7'ity/State) (Zip) LICENSE NUMBER: KTUSPI*153MA PHONE NUMBER: (509)467-4000 Spokane, WA 99218 (City/State) (Zip) MECHANICAL WORKSHEET/FEE: SCHEDULE NUMBER X EACH OF:UNITS UNIT DESCRIPTION AMOWIT I3UCTWORK , SYSTEM 0pDSTOVE/INSERT GASWATERHEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU 'GAS PIPING (EA OUTLET) REFRIG_1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU ?EFRIG 501-1,000M BTU (.EFRIG-1, 001-1, 750M BTU IG -+1,750M BTU. AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS 'HEAT PUMP .& HEAT PUMP & HEAT PUMP•& HEAT PUMP & MEAT PUMP.& VENTILATING 0-3 TONS _ - 3-15 TONS _ 15-30 TONS _ 30-50 TONS _ +50 TONS _EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' TYPE II HOOD CLOTHES DRYER RANGE _ PTN. OF HOOD) AS ,LOG 1ISCELLANEOUS (NOT COVERED ELSEWHERE) NLISTED:GAS APPLIANCE <400,000 BTU_ _ UNLISTED GAS'APPLIANCE >400,000 BTU USED:APPLIANCE <400,000 BTU j}SED APPLIANCE >400,000 BTU qIR 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 12.00 20.00 25.00 35.00 x x x x x 60.00 = x 12.00 = 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 = 'O. ia.00 NOTE: MZ.MUM PERMIT FEE IS $35.00 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTA1. PERMIT FEE DUE SRokane County Department of tsuildinq and Safety