Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1992, 09-25 Permit App: 92008059 Mechanical Fixtures
aL13, ovo4 _ _ o5 d MECHANICAL PERMIT APPLICATION FORM - l - =605°( L _ (-t I g_ a Information Worksheet ,1013 SSREET ADDRESS-; ,L L�o g l /7 105'2.13 CITY/STATE/ZIP: .9 //1-49 / PARCEL NUMBER: OWNER; 3//e (-2,/a),...‘,/,/7 _ PHONE NUMBER: .5-_71-1/7X5-/ 63-&:00 . MAILING ADDRESS; / 7) (Street) (O"ity/State) ( Zip) CONTRACTOR; KTU of Spokane, Inc. LICENSE NUMBER: RTUSPI*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 ' AMOUNT pUCTWORK SYSTEM x$10. 00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER / x 10. 00 = JO . (/0 HEATING EQUIPMENT <100, 000 BTU J x 12 . 00 = /,9, 0(7 HEATING EQUIPMENT +100,000 BTU x 15. 00 = GAS PIPING (EA OUTLET) ea x 1. 00 = , (IU REPRIG.1-100M BTU (NOT A/C OR HEAT PUMP) x 12 . 00 = REFRIG 101-500M BTU x 20. 00 = EFRIG 501-1, 000M BTU x 25 . 00 = .EFRIG. 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 = (-TEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25 . 00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS x 35 . 00 = 1-TEAT 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 = 1.ISSCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10. 00 = >INLISTED -GAS APPLIANCE <400, 000 BTU _ _ x 50. 00 = ON-LISTED GAS' APPLIANCE >400, 000 BTU_ _ _ x100. 00 = USED:APPLIANCE <400,000 BTU x 50 . 00 = WED APPLIANCE >400,000 BTU x100 . 00 = _ AIR HANDLER <16,000 CFM x 12 . 00 = AIR HANDLER >10, 000 CFM x 15 . 00 = SUBTOTAL o •GU , PLUS : PROCESSING FEE + $ 25 .00 EQUALS : TOTAL PERMIT MOTE: MINIMU PERMIT _E IS 00 FEL: (;liE _ SIGNATURE t.---- ; ��; �r / • Spokane County Department of building and Safetyy West 13U3 Broadway Avenue Spokane_ WA (4-0126n r�rlq► drifi_'1ri7ri