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1992, 11-09 Permit App: 92009882 Mechanical Fixtures
17 & C _ a t -�z - q - -Gly 2 C-S'CA-�� MECHANICAL PERMIT APPLICA710I4 FORM `` \a Z `/�(�p l nformat ion w*)rksheet r ;�$ SjREFj ADDRFGG' .y/STATE/ZIP;, /'��f,�l � i-� ' _PARCEL NUMBER: OWNER.i PHONE NUMBER: (Street) (city/State) (Zip) �;QNTRAC'I`OR. `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 DUCTWORK SYSTEM_ _ - - - - - - - - _ - - x$10.00 = WOODSTOVE/INSERT _ _ x 25.00 = _ _ _ _ _ _ _ _ _ _ GAS --WATER HEATER J x 10.00 = HEATING EQUIPMENT <100,000 BTU x 12.00 = , - _ _ _ _ ,HEATING EQUIPMENT +100,000 BTU x 15.00 = _ - _ _ _ GAS PIPING (EA OUTLET) _ _ x 1.00 = _ _ REPRIG_1-100M BTU (NOT A/C OR HEAT PUMP) x 12.00 = _ V,EFRIG 101-500M BTU_ x 20.00 = _ - - _ _ _ - PEFRIG 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 12.0C = _ _ HEAT PUMP & AIR CONDITIONER 3-15 TONS x 20.00 = _ BEAT 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 FANSx _ _ _ _ 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_ - _ _ _ -=--:�-_-------- .00 = .00 = �jx �A�LOG IELLANEOUS (NOT COVERED ELSEWHERE)_ .00 = _ UINLISTED•.GAS APPLIANCE <400,000 BTU_ 0.00 = _ _ UNLISTED GAS•APPLIANCE >400,000 BTU_ 0.00 = _ _ USED:APPLIANCE <400,000 BTU_ _ 0.00 = _ _ _ _ _ USED APPLIANCE >400,000 BTU_ _ 0.00 = _ _ _ _ _ AIR HANDLER <16,000 CFM _ _ _ 2.00 = _ _ 7AIR HANDLER >10,000 CFM 5.00 = SUBTOTAL $ ',•� PLUS: PROCESSING FEE + 25.00 MOTE,: MINIMU PEIT F IS $35-00 EQUALS: TOTAL PERt-11.1' FEE ml!-. SIGNATURE S�okane Count Department 1 of duildinc' and SaietX 1If,,.-i 11 Q��-�A...-�.. C. -._I.__ t.,w � -r� r �.