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1992, 12-16 Permit App: 92011028 Mechanical Fixture
- C\2:-.1102b mo4 d-kbhl0 MECHANICAL PERMIT APPLICATIOU FORM I01(oo I� l f'l nfori=mat iibn*Worksheet `( /�� /". II a1 B STREET ADDREGsc 5- /5/7 1 / '' fiage.l�/� LlerX/STATE/ZIP: r A!L ' � ►. • L *NUMBER: Ctau 2VOZ- � �, PARCEL / p mama /e01) 4zc PHONE NUMBER: , %7Z-� t1eO . ATT.ING ADDRESS; , \`(p \ \k ' r `D\Oe, 0, 6F 'i Lig—Z 5 -- `7 (Street) (O'ity/State) (Zip) . KTU of Spokane, Inc_ LICENSE NUMBER: RTUSPI*153MA CONTRACTOR;. ' PHONE NUMBER: (509)467-4000 • MAILING ADDRESS: E- 88 Westview Ave_ Spokane, WA 99218 (Street) (City/State) (Zip) Ow. - MECHANICAL WORKSHEET/FEE: SCHEDULE NUMBER X EACH DESCRIPTION OF=UNITS UNIT - AMoUgT DUCTWORK, SYSTEM •x$10. 00 = OODSTOVE/INSERT x 25.00 = GAS-•WATER HEATER x 10.00 = HEATING EQUIPMENT <100,000 BTU I x 12.00 = . Z 042 SEATING EQUIPMENT +100,000 BTU x 15.00 = GAS PIPING (EA OUTLET) x 1.00 = REFRIG_1-100M BTU (NOT A/C OR HEAT PUMP) x 12 .00 = gEFRIG 101-500M BTU x 20.00 = ?Et-RIG 501-1,000M BTU x 25. 00 = aEFRIG_-1,001-1,750M BTU x 35. 00 = pEFRIG.:+1,750M BTU . x 60 . 00 = HEAT PUMP _& AIR CONDITIONER 0-3 TONS _ x 12 . 00 = HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20. 00 = 1-IEAT PUMP- & AIR CONDITIONER 15-30 TONS _ x 25. 00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS x 35. 00 = SEAT 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 50.10.00 = TYPE II HOOD x 00 = CLOTHES DRYER_ _ _ _ _ x 10.00 = RANGE — _ _ _ 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 = pSED APPLIANCE >400,000 BTU x100. 00 = AIR HANDLER <10,000 CFM x 12 . 00 = jIR HANDLER >10,000 CFM x 15. 00 = • SUBTOTAL $ 49DU PLUS : PROCESSING FEE + $ 25 -00 EQUALS : TOTAL PERMIT /�/, NOTE: MINI. M PERMI EE $35 . 0° FEE DUE I _ $37 GO SIGNATURE Aiil�"(/G Spokane County Department of uuildinq and Safety I F \( r ti - Ln Th c:: f_C,JL\, L�k,C\@ )Ck,Y\ L� � � w Q_`v(ii s - L£ LLC..0 L i�ti (-)VA), 0 a1Y1 P L "'L)(-c,,(c.-{`