1992, 12-08 Permit App: 92010766 Mechanical Fixtures,Tni3 STREET ADDRESS:
MECHANICAL PER(Y1Ii APPLICAYUO11 FORM
Information -Worksheet
(i0 2 hl ENt
CITY/STATE/ZIP: J�L,�C U�-'�' I
SEB.:
IMMLICADDRESSSS
cm LN
cA I o -1(c
PARCEL NUMBER:
PHONE NUMBER:
(Street)
(TRACTOR.% q KTU of Spokane,
Inc.
MAILING ADDRESS: E- 88 Westview Ave_
(Street)
(O'ity/State) (Zip) .
LICENSE NUMBER: RTUSPI*153MA
PHONE NUMBER: (509)467-4000
Spokane, WA 99218
(City/State)
(Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE. SCHEDULE
` NUMBER
X EACH
OF:UNITS
DUCTWORK SYSTEM
w00DSTOVE/INSERT
GAS WATER, HEATER
HEATING. EQUIPMENT <100(000 BTU
BEATING EQUIPMENT +100,000 BTU
'GAS PIPING (EA OUTLET)
REFRIG.1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
a FRIG -.1,001-1,750M BTU
?EERIG.+1,750M BTU. .
'HEAT PUMP .&
HEAT PUMP &
1-IEAT PUMP - &
HEAT PUMP &
NEAT PUMP. &
VENTILATING
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
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
PTN. OF HOOD)
AS ,LOG -
tISCELLANEOUS (NOT COVERED ELSEWHERE)
,LISTED :GAS APPLIANCE <400,000 BTU_ -
UNLISTED GAS'APPLIANCE >400,000 BTU
USED:APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <16,000 CFM
7AIR HANDLER >10,000 CFM
UNIT
x$?0.00 =
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 =
AMouivr
la.0 >
Ioo
NOTE: M IM M PERMIT FEE IS $35-00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
I3, on
+ $ 25.00
EQUALS: TOTAI. PERMIT
FEE 011E
Spokane County_ Department of rsuildinq and Safety