1991, 10-31 Permit App: 91007446 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information Worksheet /`
JOB STREET ADDRESS: �1 "` !l 2. 3 ISA,tChI K D 9/-7 /PAL
CITY/STATE/ZIP: %O/2 / ( PARCEL NUMBER:
OWNER: ttC-ARD C0( -LCR '7'G.. PHONE NUMBER: %.2k .24S
MAILING ADDRESS:
Js4 rut 'C
(Street)
(City/State)
CONTRACTOR: Renner Furnace & Fuel , Tnr 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 <100,000,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 1,0001-1,750M 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 too =
x 12.00 =
x 20.00 =
x.25.00 =
x 35.00 =
x 60.00 =
x12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
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 --
/
Jo - et
/
/ L -0 0
Z
2 • a -
/
/,2, c
SUBTOTAL
SUBTOTAL
$ 34.00
PLUS: PROCESSING FEE
+ $ --- 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_$ C,i_oo
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675