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1992, 07-14 Permit App: 92005219 Mechanical Fixtures351aA• cOaNf OCC---L10nl a5;?2, tt0 JOB STREET ADDRESS: CITY/STATE/ZIP: OWNER: Laney MECHANICAL PERMIT APPLICATION FORM Information Worksheet :.7.13•81 £ r .ct,S c,C. 9 4 zit- PARCEL NUMBER: PHONE NUMBER: 92z Si3 Y oeIf oa5a(c1 MAILING ADDRESS: CONTRACTOR: Banner CONTACT: RUSS LUNDE (Street) (City/State) Fnrnare & Fnel , Tnr'IICENSE NUMBER: BANNEFF378NT PHONE NUMBER: 535-1711 Spokane, WA: 99202 MAILING ADDRESS: P.O. Box 4346 (Zip) (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) .................................................. .WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIP. MENT <100,00018TU(INCLUDES '; GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU ROILER/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 & AIRCONDITIONER 15'-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER +50 SONS 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>400,000BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM)ii NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 x10.00 = x12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x35.00 = x 60.00 x 12.00 = x 20.00 = x 25.00 = k 35.00 = *60.00 = x 10.00 x 10.00 = *50.00 =• x 10.00 d X 10.00 = X 10.00 = x 10.00 = x10.00 = x 50.00 = X100.00 = *50.00 = x100.00 a X 12.00 = x 15.00 a 1 /3-.- ,/;a.• t 2-° • SUBTOTAL $ Z% a° PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE _ $ `/9" Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675