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1992, 06-11 Permit App: 92004266 Mechanical Fixtures `A5 11 4 -C7(4 ((- $'MECHANICAL PERIViIT +PPLICATION FORM It 2 �� GL (,.J_S i l� 1 Information hiorksheet (,( L0 -- � � ,10STREET ADDRESS: L., 6 1 V LI OC1 Pj / ( 1 '' IcL + l l T \, TY/STATE/ZIP: �. ) U�1(( f IX/ Lida / PARCEL NU ' .i O f h'fl ) PHONE NUMBER: ' 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 (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE. SCHEDULE 1 NUMBER X EACH ` DESCRIPTION OF : UNITS UNIT : AMOUNT DUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER I x 10. 00 = tG ,C}0 HEATING EQUIPMENT <100, 000 BTU I x 12 . 00 = / , , HEATING EQUIPMENT +100,000 BTU x 15. 00 = GAS PIPING (EA OUTLET) ✓ x 1. 00 = (9) ,Ck) REFRIG.1-100M BTU (NOT A/C OR HEAT PUMP) x 12 . 00 = EEFRIG 101-500M BTU x 20. 00 = :'FRIG 501-1, 000M BTU x 25. 00 = FEFRIG. 1, 001-1,750M BTU x 35. 00 = pEFRIG_+1,750M BTU x 60 . 00 = 'HEAT PUMP .& AIR CONDITIONER 0-3 TONS _ _ x 12 . 0C = MEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20 . 00 = E-IEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25 . 00 = (-TEAT 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 = GAS .,LOG . x 10.00 = , ►tISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10.00 = INLISTED .GAS APPLIANCE <400, 000 BTU_ _ _ x 50. 00 = UNLISTED GAS' APPLIANCE >400, 000 BTU_ _ _ x100. 00 = USED_APPLIANCE <400,000 BTU x 50. 00 = j3SED APPLIANCE >400, 000 BTU x100. 00 = AIR HANDLER <10, 000 CFM x 12 . 00 = A1R HANDLER >10, 000 CFM x 15 . 00 = SUBTOTAL $ , ()G, PLUS : PROCESSING FEE + $ 25.00 EQUALS : TOTAL PERMIT /)r') NOTE:( MINIUM PERMIT FEE IS $3 . 0 FEF DUE I - $ q 67 ° SIGNATURE �l `, I WestSpokane County Department of buildingand Safety 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675