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1992, 09-15 Permit App: 92007611 Mechanical Fixtures , 0\ 2- -UPI ( �. p�- MECHANICAL PERMIT APPLICATION FORM ea�� Information Worksheet .1C)f3 STREET ADDRESS; S �A<?!'/52.4 C T.X/STATE/ZIP; / jZI ;?� , PARCEL NUMBER: OWNER; ,( l' 'tt.,16;k/' PHONE NUMBER: ...5-135-.1-.532 ! % AILING ES ADDRS, 0! f'Y77t (Street) (O"ity/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) mow, • MECHANICAL WORKSHEET/FEE. SCHEDULE NUMBER X EACH r DESCRIPTION OF :UNITS °NZT ° AM0UWI' r DUCTWORK SYSTEM x$10. 00 = • •WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER 1 x 10. 00 = 171,J1) HEATING EQUIPMENT <100, 000 BTU J x 12 . 00 = id , 4i4.) HEATING EQUIPMENT +100, 000 BTU ,4. x 15. 00 = GAS PIPING (EA OUTLET) ' , x 1. 00 = ,? ,60 REFRIG_ 1-100M BTU (NOT A/C OR HEAT PUMP) x 12 . 00 = EEFRIG 101-500M BTU x 20. 00 = V2EFRIG 501-1, 000M BTU x 25. 00 = ftEFRIG_ 1, 001-1,750M BTU x 35. 00 = pE.FRIG. +1,750M BTU x 60 . 00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ ) x 12 . 00 = fj, Li I4EAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20. 00 = [-TEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25. 00 = HEAT 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 = AS ,LOG - • x 10. 00 = MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10.00 = I TNLISTED .GAS APPLIANCE <400, 000 BTU_ _ _ x 50. 00 = UNLISTED GAS' APPLIANCE >400, 000 BTU_ _ _ x100. 00 = USED:APPLIANCE <400,000 BTU x 50 . 00 = ))SED APPLIANCE >400,000 BTU x100. 00 = AIR HANDLER <1O,000 CFM x 12 . 00 = 1AIR HANDLER >10, 000 CFM x 15 . 00 = SUBTOTAL /_ ,a1 PLUS : PROCESSING FEE + $ 25.00 TET EQUALS : TOTAL PERMIT /'a)MO : MINIMU RMIT E IS 5 . 00 FEE DUE a SIGNATURE �/�1�J.��x .-. Spokane County Department of building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675