Loading...
1992, 06-26 Permit App: 92004777 Heat PumpJOB STREET ADDRESS: CITY/STATEJZIP: OWNER: C46et .s MECHANICAL PERMIT APPLICATION FORM Information Worksheet ,3- 1 9 4 a L / WI 91 (CE)1 ? c 0 3 7 4ir ra MAILING ADDRESS: PARCEL NUMBER: PHONE NUMBER: 72-C 773) (Street) (City/State) (Zip) CONTRACTOR: Rannpr Furnace Si. Fuel,Inc .LICENSE NUMBER: BANNEFF378NT CONTACT: RUSS LUNDE PHONE NUMBER: 535-1711 MAILING ADDRESS: P.O. Box 4346 Spokane, WA. 99202 (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVEIINSERT GAS WATER HEATER GAS EQUIPMENT:100,0001.113TU.:(INCLUDES GAS EQUIPMENT 4-100,000 BTU DUCTWORK) .. GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG10600031V-MiWiliii.g:Nift BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG:1,0001760M'EiTL.t.:,-; BOILER/REFRIG +1,750M BTU HEAT PUMP &:AIR CONDITONER,0...3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP &AIR:CONDITIONER:450 TONS VENTILATING FANS EVAPORATIVE COOLER.. . . ... . 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 ULINSTED GAS APPLIANCE .4.00,000 BTU USEDAPPLIANCE <400,000 BTU USED APPLIANCE 5.400,00613TU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM • .• NOTE: MINIMUM PERMIT FEE IS $35.00 .25C/3 -1S SIGNATURE (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x25.00 = x10.00 = x12.00 x15.00 = 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 = x10.00 = x10.00 = x 50.00 = x10.00 = x10.00 = x10.00 = x 10.00 = x10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL / 1, .0.0 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 37.0 a Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675