1993, 01-05 Permit App: 92011194 Mechanical Fixtures`'"� . MECHANICAL PERMIT APPLICATION FOR
.kecAL" `T• L-ko 1 ;3 -Z It1formatiori Worksheet
JOB STREET ADDRESS: t"^ r -S/ I k le .8 ct,41-!le •C:
CITY/STATE/ZIP:cpc)k tmP Lt R `I la I PARCEL NUMBER: f
OWNER: Gr'eC1� NFIQ�1 C± .PHONE NUMBER: �J1` 3 `7 - 3-7-9"
MAILING ADDRESS: 5, I Th i O ULCIL kA� 'Spa k t nk'A F nl a �•a
(Street) (City/State) (Zip)
CONTRACTOR: Banner Fnrnarh h Friel, Ing LICENSE NUMBER: BANNEFF378NT
CONTACT: RUSS LUNDF, a ,' ' PHONE NUMBER 535-1711 "
MAILING ADDRESS:- .P. O. Sox .434f; Spokane, WA. 99202
;'(Street) (City/State) ` (Zip).
MECHANICAL WORKSHEET/FEE SCHEDULE'
•
DESCRIPTION .
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) •
• :WOODSTOVE/INSERT
GAS WATER HEATER "
GAS EQUIPMENT <100,000 ETU (INCLUDES ., .
GAS EQUIPMENT 4100,000 BTU ,DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
13OILER4REFRIG:101-SOON BTU I.
BOILER/REFRIG 501-1,000M BTU ',"
'BOILER/FiEFRIG 1,0001 1 750M BtU
BOILER/REFRIG +1,750M BTU • •
HEAT PUMP & AIR:b-ON OitiONEW1646 TONS
HEAT PUMP & AIR'CONDITIONER3=15 TONS ...
HEAT PUMP & AIRCONDITIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
NEAT PU01[00 (1CONDITIONER 450':TONS
VENTILATING FANS
:EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN.`OF HOOD)
TYPE 11,HOOD
CLOTHES DRYER
RANGE:A
GAS LOG
MISCELLANEOUS,(NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE•<400,000 BTU
ULINSTED GAS APPLIANCE'>400,000, GTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE:>4O0,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER>10,000 CFM
NUMBER
OF UNITS
0
NOTE: MINIMUM PERMIT.FEE IS $35.00
SIGNATURE C
SUBTOTAL
X EACH •
UNIT
x 10.00 =
x 25.00=
X 10.00
x 12.00
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x25.00_
x 35.00
X60.00
x-12.00
X 20.00
X 25.00 =
X 35.00.
x 60.00 = '.
x 10.00
x 10.00 =
*50.00 =.
x1000 =,
X 10.00 = ?'
x 10.00 =
x1000 `'
X1000
x5000 =,':
k100.00
x 50.00
x100.00
X12.00 =
x 15.00
= AMOUNT
PLUS: PROCESSING FEE ,:
$ :. 25.00
EQUALS: TOTAL PERMIT
FEE DUE
3�o
;Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675