1991, 08-22 Permit App: 91005199 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information Worksheet
ET ADDRESS: h /r 2 2r0 / de. "Pt ma
OWNER:
IP:
46. k rs r6
MAILING ADDRESS:
CONTRACTOR:
PARCEL NUMBER:
PHONE NUMBER:
/6 53-Y 03.20
9,26 s'.ti i
(Street) (City/State)
Ranner Furnas & Fuel , Tnf!LICENSE NUMBER: BANNEFF378NT
CONTACT: RUSS LUNDE
MAILING ADDRESS: P.O.
Box 4346
PHONE NUMBER: 535-1711
Spokane, WA.
(Zip)
. 99202
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
GAS EQUIPMENT.<100,000BTU (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
EVAPORATIV6COOLERS'"'. •• . ...
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
:TYPE
CLOTHES DRYER
GAS LOG
. . . ............
MISCELLANEOUS°(NOT, COVERED;ELSEWHERE•
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS.APPEIANCE400,000 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
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x1.00 =
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 =
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 =
/
/2:::.•);(9.
1.00
I
SUBTOTAL
$ 1 3_ o 3
+ $ 25.00
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT '
FEE DUE
= $ ,3&. 00
SIGNATURE
/ Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane; WA 99260 (509) 456-3675