1992, 07-02 Permit App: 92004948 Heat PumpJOB STREET ADDRESS:
CITY/STATE/ZIP:
MECHANICAL PERMIT APPLICAPON FORM
Itifprrnatiori Worksheet
.&oc'ofJW
7F 2_04
OWNER: RA' -1 Sir.° Ai
MAILING ADDRESS: S
PARCEL NUMBER:
PHONE NUMBER:
7.29
(Stteet) (City/State)
CONTRACTOR: Banner Furnarp Ft Ftull • -Fur LICENSE NUMBER: BANNEFF378NT
CONTACT: RUSS LUNDE
MAILING ADDRESS: P.O. Box 4346
(Zip)
PHONE NUMBER: 535-1711 .
Spokane, WA. 99202
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSEFITOMOOKONSVEMM:::;IMM,
GAS WATER HEATER
GAS EQUIPMENT <100,000 UTUQNCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING
BOILER/REFRIG 1-100M BTU
130ILER/RERIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1 ,750M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR bONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 15 -SO TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 tONS
VENTILATING FANS
EVAPORATIVEIO0OliE140NO:NiiiniaggAniNggeggi
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD I
CLOTHES DRYER
GAS LOG
MISCELLANEOUS (NOTCOVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GASiptPpL!ANcE>400:000 BTU
USED APPLIANCE <400,000 BTU
USED AppLIANCE:*400;001)11T11r.:ili:N:0-;;;AV::i:i.aii.,].A:,,.;.t:::;,
AIR HANDLER <10,000 CFM
AIR HANDLER,10;000,CFMSR,
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x10.00
x25.00 a
* 10.00 = .
it 12.00
*15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
*60.00 r-
ic 12.00 =
ic 20.00 a
*25.00 =
x35.00 =
x Eo.00
x 1 o.00 a
x io.00 a
i 50.00 a
x10.00 a:
*10.00 =
x10.00 =
x10.00
x10.00 Lt. -
x 50.00 a
*100.00 a
x 50.00 .=
x100.00 =
x 12.00 =
k15.00 =
SUBTOTAL
$ /.?.... cio
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
t 3 7. e)•'
Spokane County Division Of BUildings
West 1303 Breath/Ye)/ Avenue Spokane, WA 99260 (509) 456-3675