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1992, 10-12 Permit App: 92008733 Mechanical Fixtures MECHANICAL PERMII APPLICATION FORM fid' `- A J Information Wo.-ksheet ` t`� .1013 STREET ADDREtSS; S l q rh OR. j I C)5.5 ( / y )! oI=TX/STATE/ZIP: PCVN �� I D. _ PARCEL NUMBER: ( )� � X J� � OWNER; LA--)717--N I<C ( E1 J PHONE NUMBER: )3Lo -Oe C NAILING ADDRESS:. (Street) (Q'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) MECHANICAL WORKSHEET/FEE. SCHEDULE NUMBER X EACH DESCRIPTION OF:UNITS UNIT AMOUPT DUCTWORK SYSTEM x$10. 00 = -WOODSTOVE/INSERT x 25. 00 = GAS--WATER HEATER x 10. 00 = 10 0 O HEATING EQUIPMENT <100, 000 BTU ( x 12 .00 = 1 ;)_.0 4 BEATING EQUIPMENT +100,000 BTU x 15. 00 = GAS PIPING (EA OUTLET) 2 x 1. 00 = a .O REFRIG.1-100M BTU (NOT A/C OR HEAT PUMP) x 12 . 00 = EEFRIG 101-500M BTU x 20. 00 = IG 501-1, 000M BTU x 25 . 00 = FiEFRIG_.1, 001-1,750M BTU _- _ x 35. 00 = ft_EFRIG.+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 = HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25 . 00 = (SEAT 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 = MAS ,LOG - • x 10.00 = ISCELLANEOUS (NOT COVERED ELSEWHERE) _ x 10. 00 = QNLISTED•IGAS APPLIANCE <400, 000 BTU x 50. 00 = UNLISTED GAS• APPLIANCE >400, 000 BTU_ _ _ x100. 00 = USED:APPLIANCE <400,000 BTU x 50.00 = j.)SED APPLIANCE >400,000 BTU x100. 00 = AIR HANDLER <1O,000 CFM x 12 . 00 = AIR HANDLER >10, 000 CFM x 15 . 00 = SUBTOTAL $ 0C4,0 0 PLUS : PROCESSING FEE + $ 25 .00 EQUALS : TOTAL PERMIT !� NOTE: MINIMUM PERMIT FEE IS $35 . 00 FEE DUE I SIGNATURE SRokane County Department of rsuilding and Safety