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1993, 03-24 Permit App: 93001764 Mechanical Fixtures
L r5CA . crI\ Q S'"'a L'15rt�� omaLgnEET ADDRPf LI'Tr/STATE/zir MECHAUICAI PERMIT APPLICATION FORM I reformat ion'Worksheet M 4711 Dnp '�a.le 14% 2%(�/' PARCEL �N 'NUMBER: QWN�R; 411 4 / /1-►-+-,cI' iArr.?'NG ADDRESS• link CC 0410\heK (Street) PHONE NUMBER: CONTRACTOR ; = KTU f Spokane, Inc_ MAILING ADDRESS: E_ 88 Westview Ave_ (O'ity/State) (Zip) LICENSE NUMBER: RTUSPI*153MA PHONE NUMBER: (509)467-4000 (Street) Spokane, WA 99218 (City/State) (Zip) MECHANICAL WORKSHEET/FEE. SCHEDULE NUMBER X EACH DESCRIPTION - -- - OF: UNITS UNIT ptCTWORKSYSTEM opuSTOVEIINSERT GAS, WA'r ElEitchit HEATING. EQUIPMENT <100 t 000 REAM -NG EQUIPMENT 4100, 000 GAS PIPING . (EA OUTLET) REFRIG_1-100M BTU (NOT A/C gEFRIG 101-500M BTU EFRIG 501-1,000M BTU ?EFRIG_.1,001-1,750M BTU ?RIG:+1,750M BTU. HEAT PUMP_& AIR CONDITIONER !EAT PUMP & AIR CONDITIONER HEAT PUMP-& AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER VENTILATING FANS EVAPORATIVE COOLERS _ - - TYPE 1 HOOD (PER 12'__ OR 12` -PINT OF HOOD) TYPE II HOOD _ CLOTHES DRYER_ - - - - SCELLANEOUS(NOT COVERED ELS - INLISTED .GAS - APPLIANCE :<400,000 BTU ) - - UNLISTED GAS:'APPLIANCE >400,000 BTU USED -APPLIANCE <400,000 BTU_ -' - - USED APPLIANCE >400,000 BTU - BTU BTU OR HEAT PUMP) 0-3 TONS _ _ 3-15 TONS _ 15-30 TONS _ 30-50 TONS _ +50 TONS AIR HANDLER <16,000 CFM _ AIR HANDLER >10,000 CFM - NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE SPOkanP -X510.00 X 25.00 X 10.00 X 12.00 X 15.00 Xu"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 SUBTOTAL PLUS_ PROCESSING FEE EQUALS: TOTAL PERMIT FEE= (;tic AMouwr 1 ,GG /cP.co 40 + $ 25_oo