1989, 06-27 Permit App: 89001955 ACJOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
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CITY/STATE/ZIP: CV 9.2 / (ca PARCEL NUMBER:
OWNER: -J-eq C
C>/9-2". PHONE NUMBER: ?-Z 8' 9/3 6
MAILING 'ADDRESS: ( 3 9 9 2 l k
(Zip)
CONTRACTOR:
CONTACT:
(Street) (City/State)'
BANNER FURNACE E, FUEL
RUSS LUNDE
MAILING ADDRESS: P.O. BOX 4346
LICENSE NUMBER:
BANNEFF378NT
PHONE NUMBER: 535-1711
(Street)
SPOKANE, WASHINGTON 99202
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDUT,P,
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
(Zip)
= 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
AIR CONDITIONER 0-3 TONS
AIR CONDITIONER 3-15 TONS
AIR CONDITIONER 15-30 TONS
AIR CONDITIONER 30-50 TONS _
AIR CONDITIONER +50 TONS _
FANS
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
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_ -
UNLISTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDf,FR >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 =
o�
NOTE: MINIMUM RERMIT FEE
-r 71cj
SIGNATURE
$35.00
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
$ 37Q0
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675