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1992, 05-14 Permit App: 92003410 Heat PumpI`154 D-bct 5 MECHANICAL PERMIT APPLICATION FORM 1\)V5(0 InformationWorksheet JOB STREET ADDRESS: / I '/ 9 /-'4�2A. CITY/STATE/ZIP: OWNER: �`Y'r'f s PARCEL NUMBER: PHONE NUMBER: L1 -' , 1 MAILING ADDRESS: (Street) (City/State) CONTRACTOR: Rannpr Furnace & Fue1,_ nc.LICENSE NUMBER: BANNEFF378NT CONTACT: RUSS LUNDE MAILING ADDRESS: P.O. Box 4346 Spokane, WA. 99202 PHONE NUMBER: 535-1711 (Zip) DESCRIPTION (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVE/INSERT. ........ :...... ..... . GAS WATER HEATER GAS EQUIPMENT '<100000 BTU (INCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG :101-500M ::BTU BOILER/REFRIG 501-1,000M BTU ............................................ BOILER/REFRIG 1,00011,750M 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 8 `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 >400000BTU 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 = x 10.00 = x12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = 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 = 1 /#2- o ' SUBTOTAL ,.- $ /-2.- " PLUS: PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE _ $ 3 7- cru Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675