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1993, 03-12 Permit App: 93001450 Mechanical Fixtures
it65Dbo50 I L-1 ) (3- , t ..., D (LJ .11 CHAUICAL PERMIT APP4LICA1IO11 FORM 3- inrormatiOnwor)csheet 5: 4 C)62 xcznciea-Ian nd R. / Dec' D S 0'0e STREET ADDRFSsS; opr.y./STATE/ZIP; 1,;6-7.14\I P, Ai A- 06/ PARCEL NUMBER: OWNER; Loxr1 I hp rap z..0n - PHONE NUMBER: :MAILING ADDRESS S, t C%3 )vel L'1Cl 4 (Street) (Olty/State) (Zip) . C4NTRACTOR; 'KTU of Spokane, Inc_ LICENSE NUMBER:,RTUSPI*153MA PHONE NUMBER: (509)467-4000 MAILING ADDRESS: E. 88 Westview Ave_ Spokane, WA 99218 (Street) i (City/State) (Zip) MECHANICAL WORKSHEET/FEE. SCHEDULE NUMBER X EACH DESCRIPTION OF=UNITS UNIT - : AMOUPT pUCTWORK, SYSTEM - •x$1 0.00 = • WitiI00DSTOVE/INSERT. • . - • x 25.00 = . GAS--WATER HEATER 1 . x 10.00 = A100 HEATING, EQUIPMENT <100(006 BTU 1 x 12.00 = ja.e:G HEATING EQUIPMENT 4.100 000 BTU • x 15.00 = 'GAS PIPING .(EA. OUTLET) xr`° 1.00 = a, REFRIG_1-100M BTU (NOT A/C OR HEAT PUMP) x 12 .00 = EFRIG 101-500M BTU x 20.00 ViEFRIG 501-1,000M BTU x 25.00 = fiEFRIG_.1, 001-1,750M BTU x 35. 00 = E RIG:+1,750M BTU . _ _ _ x 60. 00 = 'HEAT PUMP .& AIR CONDITIONER 0-3 TONS _ x 12 . 0C = HEAT PUMP & AIR CONDITIONER 3-15 TONS x 20. 00 = HEAT PUMP- & AIR CONDITIONER 15-30 TONS x 25. 00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35. 00 = HEAT 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 CLOTHES DRYER x 10.00 = • x 10.00 = R-7NGE x 10.00 = • MAS ,LOG . . x 10.00 = ISCELLANEOUS (NOT COVERED ELSEWHERE) _ x 10.00 = QNLISTED.GAS APPLIANCE <400,000 BTU _ - x 50.00 = UNLISTED GAS' APPLIANCE >400, 000 BTU_ _ _ x100.00 = 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 $ 49 ,60 PLUS : PROCESSING FEE + $ 25 .00 EQUALS : TOTAL. PERMIT NOTE: MINIMUM PERMIT FEE IS 535 . 00 FEE ()tir 1 = 17400 SIGNATURE Spokane County Oeoartment of riiiiirtinn nnri Cafatu