1992, 07-31 Permit App: 92005951 Mechanical FixturesMECHANICAL PERMI1 APPL IJATroN FORM
Information Works he t
0.0$ STREET ADDRE5A- S' 3SoS fax- 4747
OJTY/STATE/ZIP;., Y /U447 TXPt, PARCEL NUMBER:
OWNER; ,g21 �Cf nb� PHONE NUMBER: 98/3 3 c
SAILING ADDRESS;
(Street) (city/State) (Zip)
CONTRACTOR• RTU of Spokane, Inc. LICENSE NUMBER: KTUSPI*153MA
MAILING ADDRESS: E. 88 Westview Ave.
PHONE NUMBER: (509)467-4000
Spokane, WA 99218
(Street)
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE. SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
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
REFRIG 501-1,000M BTU
?EFRIG.1,001-1,750M BTU
OR HEAT PUMP)
FRIG.+1,750M BTU
HEAT PUMP'.& AIR CONDITIONER_
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP.& AIR CONDITIONER
VENTILATING FANS
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
RANCE
PTN. OF HOOD)
GAS ,LOG
klISCELLANEOUS (NOT COVERED ELSEWHERE)
TNLISTED.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
/
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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
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 =
�!. 00
AZ on
Note: MINI*' M PERMIT FE FIS $35.00
SIGNATURE
SUBTOTAL
s 34.00
PLUS: PROCESSING FEE
$ 25.0o
EQUALS: TOTAL PERMIT
IEE DUE
Spokane County Department of building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675