1991, 10-09 Permit App: 91006670 Mechanical FixtureMECHANICAL PERMIT APPLICATION FORM
I r,;orrnatidit Work sheet
JOB STREET ADDRESS: `:- 3 1 15 ^i 1 6 eo
CITY/STATEIZIP: et `I Z L PARCEL NUMBER:
OWNER: rfca_Q1 /-1 PHONE NUMBER: 9.z L z 3J�
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: Rannpr Furnace & Fuel, Inc.LICENSE NUMBER: BANNEFF378NT
CONTACT: RUSS LUNDF PHONE NUMBER: 535-1711
MAILING ADDRESS: P.O. Box 4346 Spokane, WA. 99202
(Zip)
DESCRIPTION
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
(Zip)
NUMBER
OP UNITS
X EACH
UNIT
= AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSToVEAR§ERT'
GAS WATER HgATER
GAS'EQUIPME `<100;(01 J CLUDES
GAS EQUIPMENT +100,006 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG:1'01` S0ONI` tY
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG .1,oaf`j{tU
BOILER/REFRIG +1,75014 9TU
HEAL PUMP & AIR CogortIONt043 TONS
HEAT PUMP & AIR CONbItIONER 3-15 TONS
HEAT PUMP & AIR CONbfTIONEP g 3o
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIC f t 4.SO TONS
VENTILATING FANS
EVAPORATIVffrobrEWrtrnii.
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE I1 HOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHthE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE >100,000 BTU
USED APPLIANCE <400,000 BTU
1
USED APPLIANCE >400,000 BTU
MR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
x 10.00 =
x 25.00 =
x10.00 =
x 12.00 =
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 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00
x10.00 =
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 ?--
NOTE:
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
$ /,2. •
PLUS: PROCESSING FEE
$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
0"
Spokane Coutlty Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675