1993, 04-23 Permit App: 93002827 Mechanical FixturesL'\5��� MECHANICAL PERMIT APPLICATION FORM
L�J Information Worksheet
JOB STREET ADDRESS: 4'• �7!/ e�C 1 4
CITY/STATE/ZIP: S/i41C C lid PARCEL NUMBER:
OWNER: V'A)dIiinJ- PHONE NUMBER:
q3= z8a
/b(0 a 37
227
MAILING ADDRESS: -_
(Street).
CONTRACTOR: RTU of Spokane
MAILING ADDRESS:
DESCRIPTION
(City/State) (Zip)
LICENSE NUMBER: KTUSPI*153MA
PHONE NUMBER: ( 509) 467-4000
E. 88 Westview Spokane, WA 99218
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK SEPARATE SYSTEM
GAS WATER HEATER
GAS EQUIPMENT+100,000 BTU DUCTWOR
BOILERIREFRIG 1-100M BTU
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BOILER/REFRIG 501-1,000M BTU
BOILERIREFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 3040 TONS
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vv
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
;it!fi ij
UNUSTED GAS APPLIANCE <400,000 BTU
USED APPUANCE <400,000 BTU
AIR HANDLER <10,000 CFM
•
NOTE: MINIMUM PERMIT FEE IS $35
SIGNATUR
ram
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x10.00
x 25.00
i
x10.00=
//•6C
1
x12.00=
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
,x25.00 =
x35.00=
x 60.00 =
x 12.00 =
x 20.00 es
x 25.00 =
x35.00 =
/ .
CO.
.
t
--r
_
x 60.00
x 10.00 =
x 10.00 =
x50.00 =
x10.00=
x 10.00 =
x 10.00 =
x 10.00
x10.00 =
x50.00 a
1
x00.00=
x50.00$
x100.00 f
--_ _---,
1
•
•
x 12.00
x15.00 =
t
SUBTOTAL
$ qtffC,/,
+ $ 25.00
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
_ Q%C%
=$
Spokane County Division of Buildings