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1992, 08-07 Permit App: 92006170 Mechanical FixturesMECHANICAL PERMI1 APPLICATION FORM Information Worksheet tea-(0(7cD 05c_D5( 7013 UREET ADDRESS: E-, /7;���/y� /16y4 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