1989, 05-16 Permit App: 89001316 Furnace, ACJOB STREET ADDRESS:
.
MECHANICAL PERMIT APPLICATION FORM
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Information Worksheet
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CITY/STATE/ZIP:SroK ,JE 6i/A `176.37 PARCEL NUMBER: V%51/2 - G
OWNER: is' Oa t-
PHONE NUMBER:
MAILING ADDRESS:
Sri
(Street)
CONTRACTOR: BANNER FURNACE AND FUEL
CONTACT: RUSS LUNDE
MAILING ADDRESS: p . 0. BOX 4346
9-ze
762-7
(City/State) (Zip)
LICENSE NUMBER: BANNEFF378NT
PHONE NUMBER: 535-1711
(Street)
SPOKANE, {VASHTNGTON 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 (EACH OUTLET:)
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
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER - 10,000 CFM
x$ 6.50 =
x 10.00 =
x 6.50 =
x 9.00 =
x 11.00 =
x .50 =
x 9.00 =
x 16.50 =
x 22.50 =
x 33.50 =
x 56.00 =
x 9.00 =
x 16.50 =
x 22.50 =
x 33.50 =
x 56.00 =
x 4.50 =
x 6.50 =
x 6.50 =
x 6.50 =
x 6.50 =
x 6.50 =
x 20.00 =
x 9.00 =
, po
coo
NOTE: MINIMUM PERMIT FEE I8 $20.00
Signature
SUBTOTAL
$ /V. oo
PLUS: PROCESSING FEE
+ $ 15.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 300
Spokane County Department of Building and Safety
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