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1992, 05-11 Permit App: 92003251 Mechanical Fixtures MECHANICAL PERMILAPPeICATION FORM oa. 3a5 ' Information Worksheet 0C-t(.W,0 JFTREET ADDRESS; q/ ?)/J2/?1liu)a' �0�, k �0,--)1{ LU1� PARCEL NUMBER: CITY/STATE/ZIP; � i Effimwa; W __ PHONE NUMBER: qX6-AZ-13� MAILING ADDRESS;, (Street) (city/State) (Zip) CONTRACTOR; RTU of Spokane, Inc. LICENSE NUMBER: KTUSPI*153MA PHONE NUMBER: (509)467-4000 MAILING ADDRESS: E. 88 Westview Ave_ • Spokane, WA 99218 r (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF,UNITS UNIT ' AMOU$1 DUCTWORK SYSTEM x$!0. 00 = •WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER x 10. 00 = HEATING EQUIPMENT <100, 000 BTU / x 12 . 00 = i ,nn HEATING EQUIPMENT +100,000 BTU x 15. 00 = GAS PIPING (EA OUTLET) , x 1.00 = IeC)0 REFRIG.1-100M BTU (NOT A/C OR HEAT PUMP) x 12 .00 = gKFRIG . 101-500M BTU x 20. 00 = ?EFRIG 501-1, 000M BTU x 25. 00 = aEFRIG. 1, 001-1,750M BTU x 35.00 = tEFRIG:+1,750M BTU . x 60. 00 = 'HEAT PUMP.,& AIR CONDITIONER 0-3 TONS _ _ x 12 . 00 = I4EAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20. 00 = HEAT PUMP- & AIR CONDITIONER 15-30 TONS _ x 25. 00 = SHEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35. 00 = MEAT PUMP. & AIR CONDITIONER +50 TONS _ _ x 60. 00 = VENTILATING FANS x 10.00 = ,EVAPORATIVE COOLERS x 10. 00 = TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF' HOOD) x 50.00 = TYPE II HOOD x 10. 00 = CLOTHES DRYER x 10.00 = RANGE x 10.00 = AS ,,LOG . x 10.00 = ISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10.00 = VILISTED`.GAS APPLIANCE <400, 000 BTU_ _ _ x 50.00 = UNLISTED GAS' APPLIANCE >400, 000 BTUx100. 00 = USED:APPLIANCE <400,000 BTU x 50.00 = USED APPLIANCE >400,000 BTU x100. 00 = AIR HANDLER <16, 000 CFM x 12 . 00 = AIR HANDLER >10, 000 CFM x 15. 00 = SUBTOTAL $ i ,J„C PLUS : PROCESSING FEE + $ 25.00 EQUALS : TOTAL PERf9IT N`E:C�2 IMUM PERM FEE IS 35 . 00 FEE DUE I - 53 SIGNATURE �� nCA ?ix vsk__, S oka. e County Department of ouildin and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675