1992, 08-07 Permit App: 92006170 Mechanical FixturesMECHANICAL PERMI1 APPLICATION FORM
Information Worksheet
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CIT.Y/STATE/ZIP; .1/1 i1 I t / J 7PARCEL NUMBER:
OWNER; / J i4,
MAILING ADDRESS;,
(Street)
CONTRACTOR; RTU of Spokane,
Inc.
PHONE NUMBER:
MAILING ADDRESS: E. 88 Westview Ave.
(city/State)
LICENSE NUMBER:KTUSPI*153MA
(Zip)
PHONE NUMBER: (509)467-4000
(Street)
Spokane, WA 99218
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
t NUMBER X EACH
OF UNITS UNZT
DESCRIPTION
AMoUWT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
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
PEFRIG 501-1,000M BTU
FEFRIG.1,001-1,750M BTU
pEFRIG_+1,750M BTU
'HEAT PUMP &
MEAT PUMP &
HEAT PUMP &
HEAT PUMP &
CHEAT PUMP &
VENTILATING
AIR CONDITIONER 0-3 TONS
AIR CONDITIONER 3-15 TONS
AIR CONDITIONER 15-30 TONS
AIR CONDITIONER 30-50 TONS
AIR CONDITIONER +50 TONS _
FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
(,AS , LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)_
INLISTED.GAS APPLIANCE <400,000 BTU_
UNLISTED GAS -APPLIANCE >400,000 BTU_ _
USED.APPLIANCE <400,000 BTU
MED 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 12.00 =
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 =
L C
NOTE: MINIMUM PERMIT Fr IS 535.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS] TOTAI, PERMIT
FEE DUE
Spokane County Department of building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675