1992, 01-23 Permit App: 92000405 Water Heater, PipingJOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER:
MECHANICAL PERMIT APPLICATION FORM a - y
Information Worksheet
n/ - 3//s ce r6,c -1737
PARCEL NUMBER:
PHONE NUMBER:
72-4 1 ,3 ,S o
MAILING ADDRESS: SR""
(Street) (City/State)
CONTRACTOR: Banner Furnace & Euel ,_Sne-LICENSE NUMBER: BANNEFF378NT
CONTACT: RUSS LUNDE
MAILING ADDRESS: P.O. Box 4346
PHONE NUMBER: 535-1711
Spokane, WA.
(Zip)
99202
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000 BTU (INCLUDES :,
GAS 'EQUIPMENT 4100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET) •
BOILER/REFRIG 1-100M BTU
BOILER/REFRIGiO1•-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: & AIR CONDITIONER 15=30 TONS:'.`
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP. & AIR CONDITIONER;+50 TONS`
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 >400,000 BTU
AIR HANDLER <10,000 CFM
. AIR HANDLER >10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =-
x
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x35.00 =
x60.00 =
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 =
. co o
/ v
SUBTOTAL
$ j/ o c
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ _YC. a°
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675