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1991, 04-24 Permit App: 91002053 Water Heater, AC
MECHANICAL PERMIT. APPLICATION FORM Informati.pp:,Worksheet JOB STREET ADDRES§i. pvleod_* CITY/STATE/ZIP: (RARCEL NUMBER: OWNER: PHONE NUMBER,.— MAILING ADDRESS .i S OC (Street) (City/State) (Zip) CONTRACTOR: BANNER FURNACE & FUELBANNEFF'378NT LICENSE NUMtEk;_ CONTACT: RUSS LUNDE 'PHONE NUMBER! MAILING ADDRESS: P.O. BOX 4346 SPOKANE, WASHINGTON 99202 (Street) (City/State) (zip) . ...... MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER I X EACH DESCRIPTION OF UNITS UNIT, = AMOUNT DUCTWORK SYSTEM- - WOODSTOVE/INSE ld 7 - - - - - - - - 7 — — - — — — — — — — — GAS WATER HEATER—.: — — — — — — — - HEATING EQUIPMENT <100;000 BTU HEATING EQUIPMENT -�iob','6'bO BTU - - - GAS PIPING (1 - 4 OUTLETS) GAS PIING (5 OR MORE "`.,s,E'ACH:)x REFRIG 1-100M BTU (NOT "A/C OR k-EA7T -Pb`m-P") REFRIG 101-500M BTU-. REFRIG 501-1,000M BTU__ - - - - - - -_ REFRIG 1,001-1i750M BTU. REFRIG +1,750M BTU1 7.� .._.3._ HEAT PUMP & AIR CONDITIONER 0-3 TONS0 HEAT PUMP & AIR CONDITIONER 3-15 TONS_ ' - HEAT PUMP & AIR CONDITIONER 15-30 TON: HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER +50 TONS';t VENTILATING FANS EVAPORATIVE COOLERS'x TYPE I HOOD -(PER 121 OR 121 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 <400,060 BTU- - - - — USED APPLIANCE >400;606 BTU -- AIR HANDLER <10,000 CFM' AIR HANDLER >10,600 CFM - — — — — — — x$16. -66 x 25:00'= x 10:00.= x.12 x 15.00 x 4 -00. 1.00'"- x 12.00 x 20.00 x 35.- 0 0 x 60;,'0 0' x 20:'00"" x 25i'66'` x 35 O*T; x 66 bo'x 0' 10.06 x 50;*'00 x 16 06'= x 16.661-1 0 x i i. oo'' x loi0 'b ' x 10.66— x 50.00 x100:00 x 50.00.-= x100.06'= x 12, Od 15'.'0 0 SUBTOTAL $ PLUS: PROCESSING4 tt $ 25.00 EQUALS: TOTAL PERMITI VOTE: MINIMUM PEkklAT FEE IS $35i60 FEE DUE J $ SIGNATURE S p,o* kaln"6_06-hfity Department . df' Building. and ,Safe West 1303 Broadway Avenue Sodkdfile-, WA 99260 01).;456-3675