1989, 09-11 Permit App: 89003289 FurnaceMECHANICAL PERMIT APPLICATION FORM
InfQrmat-,ion Worksheet
JOB STREET ADDRESS: cs.11 azzrre
CITY/STATE/ZIP: 14162.
OWNER: Lid-lA1)Q- c E W It 1 (o 147.
MAILING ADDRESS: )t i aerie JC,E, . 1Cp
CONTRACTOR:
(Street)
BANNER FURNACE F, FUEL
CONTACT: RUSS LUNDE
MAILING ADDRESS: P.O. BOX 4346
PARCEL NUMBER:
PHONE NUMBER: ? A. 4 4 4 3 Z
S,eo PC47.-,� Lr,a- 7 S o lb
(City/State) (Zip)
BANNEFF378NT
LICENSE NUMBER:
PHONE NUMBER:
(Street)
535-1711
SPOKANE, WASHINGTON 99202
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100;000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIING (5 OR MORE. EACH:)
REFRIG 1-100M BTU ('NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1;750M BTU
AIR CONDITIONER 0-3 TONS _
AIR CONDITIONER 3-15 TONS
AIR CONDITIONER 15-30 TONS
AIR CONDITIONER 30-50 TONS
AIR CONDITIONER +50 TONS
FANS
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
EVAPORATIVE COOLERS
TYPE I HOOD -(PER 12' OR 12' PTN: OF HOOD)
TYPE II HOOD . .
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)_
UNLISTED GAS APPLIANCE <400,000 BTU_ _
UNLISTED GAS APPLIANCE >400,000 BTU _
USED APPLIANCE <400,000 BTU '
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR•HANDLER >10,000 CFM
1
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 4.00 =
x 1.00 =
x 12.00 =
x 20.00
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00
x 12.00 =
x 15.00 =
NOTE: MINIMUM PERMIT FEE I8 $35.00
SIGNATURE
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane Mtn Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675