1990, 08-28 Permit App: 90004247 FurnaceJOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information -Worksheet
F C3aoNt
/x.304
CITY/STATE/ZIP: .34 '+/L PARCEL NUMBER: p0,i2.,,y/7,
/6.5 -ft a-098'
OWNER:
7' c A 7 W o a 0 PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
Si ga (cmNF� WA
(Street) (City/State)
BANNER FURNACE $ FUEL
CONTACT: RUSS LUNDE
MAILING ADDRESS: P.O. BOX 4346
LICENSE NUMBER:
BANNEFF378NT
99260
(Zip)
PHONE NUMBER: 535-1711
(Street)
SPOKANE, WASHINGTON 99202
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
BER
DESCRIPTION OFUUNITS XUNITH
= 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
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
EVAPORATIVE COOLERS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
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
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 =
7 �� o
• NOTE:
SIGNATURE 'L'W%
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
MINIMUM PERMIT FEE I8 $35.00
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 37