1990, 09-19 Permit App: 90004750 Heat PumpJOB STREET ADDRESS:
CITY/STATE/ZIP:
MttitIANUUAL PLKMI i APPLIUATIUN FORM
�ihformatio Worksheet
N TeX KO
OWNER: (c .(.7 71...
MAILING 'ADDRESS: 5 .4 -
CONTRACTOR:
CONTACT:
PARCEL NUMBER:
PHONE NUMBER: 9°,0Z4- 718.6
(Street)
BANNER FURNACE 4 FUEL,
kU55 LUNGE
MAILING ADDRESS: P.O. BOX 4346.,
k"1-"f/C_ �.✓.�}
9.
(City/State) (Zip)
LICENSE NUMBER: BANNEFF378NT
PHONE ` NUMBER 535-1711
(Street)
SPOKANE, WASHINGTON 99202
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE, .
NUMBER' = K EACH
DESCRIPTION OF UNITS UNIT
(Zip)
AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100;000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIVING (5 OR MORE. EACH:),
REFRIG 1-100M BTU (NOT A/C OR Hal* PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU_
r rir .,i
REFRIG 1,001-11750M BTU
_
REFRIG +1,150M BTU
HEAT PUMP & AIR CONbITtoNE1t 0-3 TONS
HEAT PUMP & AIR CONDITIONER'3-15 TONS_.,'„
HEAT PUMP & AIR CONtITIONER'15-30 TONS;
HEAT PUMP & AIR CONDITIONER,30-50 TONS.
HEAT PUMP & AIR CONDITIbNER +50 TORS,,.
VENTILATING PANS .:., ;�
EVAPORATIVE COOLERS_ _
TYPE I HOOD -(PER 12' OR 121 PTN. OF' HOOD)
TYPE II HOOD j {�. �Q.61 AM
`
CLOTHES DRYER_; _ „ _�_
RANGE
GAS LUG -``-`-._ _ --
MISCELLANEOUS -(NOT COVERED ELSEWHERE'__
UNLISTED GAS APPLIANCE,k400,00,0 STU -
UNLISTED GAS APPLIANCE '4000000 BTU
USED APPLIANCE <400,000 BTU, ad. aka 4-4211
USED APPLIANCE >400,000 BTU_ r w.,,La,,
AIR HANDLER <10,000 CFM
AIRSHANDLER >10,000 CFM
,ra ae,:a;,.
NOTE: MINiMt1 PERMIT PEL t $35$00
SIGNATURE y'',
SUBTOTAL -
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00
x 15.00
X 4.00
x 1.00 =
X 12.00 =
x 20.00
X 25.00 =
X 35.00 =
x 60.00
M 12.00 =
x 20.00
25,66
x35.00 ex
X 60.00
x 10.00
x 10.00
X 50.00
X °10.00 =
k 10.00 '
X 10.00`=
x10.00=
x 10.00
It 50.00
x100.00 =
x 50.00 =
X100.00 =
x 12.00
x 15.00
$ 12,_co
PLUS: PROCESSING PEE
+ $ 25.00
EQUALS: TOTAL PERMIT
f ,
FEE DUt
37. 0
Spokane Boo 0epertnt rpt of Building and Safety
West 1303 Broadway Avenue Spokane, WA 09260 (509) 456-3675