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1993, 02-12 Permit App: 93000833 Mechanical Fixtures
"!5c,( N(v y vok ftpMECHAPICAL PERMIT APPLfCA7fuN FORM 1nfor-m tI n -Worksheet 63 STET ADIZRES� : (0, Li �G 4 so-mk.„, �, o /STATE/ZIP; � Q%t/„ PARCEL BER: ( Of s ci` OWNER; TAILING ADDRESS CONTRACTOR;. = KTU PHONE NUMBER: (Street) f Spokane, Inc. MAILING ADDRESS: E_ 88 Westview Ave_ (O'ity/State) LICENSE NUMBER: KTUSPI*153MA (ZiP) PHONE NUMBER: (509)467-4000 (Street) Spokane, WA 99218 (City/State) (Zip) MECHANICAL WORKSHEET/FEE. SCHEDULE NUMBER X EACH OF=UNITS UNZx _ DESCRIPTION 13UC, woRIC: SYSTEM Q,ODSTOVE/INSERT • - GAS:- WA`T; k_,2<iEATER HEATING,_. EQUIPMENT <100(000 BEATING EQUIPMENT +100,000 GAS PIPING '(EA OUTLET) _ REFRIG.1-100M BTU (.TOT A/C EFRIG 101-500M BTU E:FRIG 501-1,000M BTU EFRIG_.1, 001-1, 750M BTU pEFRCG: 1, 7 5 0 M BTU . _ . - -' HEAT PUMP.& AIR CONDITIONER- I-IEAT PUMP & AIR CONDITIONER HEAT PUMP-& AIR CONDITIONER HEAT PUMP & AIR CONDITIONER FEAT PUMP.& AIR CONDITIONER VENTILATING FANS EVAPORATIVE COOLERS_ TYPE I HOOD (PER 12' (3-R PTN: OF HOOD) TYPE II HOOD CLOTHES DRYER _ - - RANGE ----. __-- -_ ,AS ,LOG __-__-_-- USCELIANEOUS (NOT COVERED ELSEWHERE) -- _ LINLISTEDI9AS APPLIANCE <400,000 BTU -- 3NLISTED GAS -APPLIANCE >400,000 BTU -- USED:APPLIANCE <400,000 BTU -' - - T3SED APPLIANCE >400,000 BTU - AIR HANDLER <16,000 CFM - AIR HANDLER >10,000 CFM BTU BTU OR HEAT PUMP) ~�� 0-3 TONS 3-15 TONS _ 15-30 TONS _ 30-50 TONS _ +50 TONS NOTE SIGNATOR lop 4 RMIT FEE IS S35.0o Spokane (.n,tnry . SUBTOTAL PLUS: PROCESSING FEE EQUALS: TOTAL PERMIT FEE (;lir -x$10.00 x 25.00 x 10.00 x 12.00 x 15.00 1.00 x 12.00 x 20.00 x 25.00 x 35.00 x 60.00 x 12.0c 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 AMOUNT 8,C° + 25.00 I=$50,(0