1992, 10-21 Permit App: 92009109 Mechanical Fixtures7o$ STREET ADDRESSS-
MECHANICAL PEI,MIrtp.PPtICATION FORM
Information worksheet
99z-- isee
PARCEL NUMBER: 1-I57S4. 1 aas 27f2-
5K`I V lE L- 2 5
PHONE NUMBER: E' -la -
cJTX/STATE/ZIP:
OWNER; 47
'MAILING ADDRESB;
CONTRACTOR;
R2. -9105
.105429
(Street)
RTU of Spokane, Inc_
MAILING ADDRESS: E. 88 Westview Ave_
(City/State)
LICENSE NUMBER:RTUSPZ*153MA
(Zip)
PHONE NUMBER: (509)467-4000
(Street)
Spokane, WA 99218
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
AMou}t
?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)
gEFRIG 101-500M BTU
REFRIG 501-1,000M BTU •
p.EFRIG.1,001-1,750M BTU
FEERWG.+1,750M BTU
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
'HEAT PUMP &
NEAT PUMP &
HEAT PUMP &
(TEAT PUMP &
HEAT PUMP .&
VENTILATING
EVAPORATIVE
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
COOLERS
TYPE I HOOD (PER
TYPE II HOOD
12
OR 12' PTH.- OF- 00'3)
CIOTHES DRYER
RANGE
GAS , IAG
1I$CELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED.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
a
x$10.00 =
x 25.00 =
x 10.00 = /0.00
x 12.00 = 12,Q0
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 =
0,00
•Gu
NOTE: MI MUH PEIT F'" IS $35.00
SIGNATUREU(n��
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS. TOTAL PERI41'i
FEF p1
s
25.00
Spokane County Department of building and Safety
West 1303 Brnadwav AvPnnp Snnkan) WO rmor,,n ISrlof nsr._21;7