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1991, 07-31 Permit App: 91004651 Mechanical Fixtures/4- /2" d -7 MECHANICAL PERMIT APPLICATION FORM Information Worksheet 9/_ YGS/ JOB STREET ADDRESS: 4.- 2 v er 06 4-0 Ai CITY/STATE/ZIP: ? 92/ L PARCEL NUMBER: /,353/ • // 7P OWNER: © tt t) r L..l-(1 W t L c� PHONE NUMBER: ? Z 7 r s 4 7 MAILING ADDRESS: .fes''` 6 9 9 2/ Z (Street) (City/State) <5,4..r (Zip) , CONTRACTOR: Rannpr Furnace &_Fuel_ Inc .LICENSE NUMBER: BANNEFF378NT CONTACT: RUSS LUNDE MAILING ADDRESS: P.O. Box 4346 DESCRIPTION PHONE NUMBER: 535-1711 Spokane, WA. 99202 (Street) (City/State) MECHANICAL WORK ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT :. . GAS WATER HEATER GAS EQUIPMENT <100,000 RTU (INCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 101-500M BTU BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1,0001-1,750M BTU BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 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 +50 TONS VENTILATING FANS 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 ULINSTED 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 NOTE: MINIMUM PERMIT FEE IS $35.00 (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = / x10.00 = 1 4, .3,b x12.00 = /2. ° .o x 15.00 = 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 = 2___- 2. • x 50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ 2 y_ • PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE _ $ , 9_ • • SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675