1990, 06-18 Permit App: 90002769 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information- Worksheet /
JOB STREET ADDRESS:. /L2raL. E �jArev 1 b t / J��T-
CITY/STATE/ZIPi . . ... -fly l � PARCEL NUMBER: 5-D
OWNER:. .. . :..Q1,,> jlege4 ; PHONE NUMBER:
72 ,y.ozo •
MAILING ADDRESS: sL}y-.if___ ,$/'ok-9r✓.L L✓A 992/ t
i (Street) (City/State) (Zip)
LICENSE NUMBER: BANNEPP378NT
2.55-53 — 02-5-05'
CONTRACTOR:, BANNER .,FURNACE F FUEL
CONTACT: RUSS LUNDE
MAILING ADDRESS:, P.O. box 4346
PHONE NUMBER: 535-1711
(Street)
r
SPOKANE, WASIITNGTON 99202
(City/State) (Zip)
i MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER. X EACH
DESCRIPTION OF UNITS_ UNIT
0-,2769
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HIEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100;000 BTU
GAS PIPING (1 _ 4 OUTLETS)
GAS PII:ING (5'OR MORE: EACH:) _
REFRIG 1=100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101=500M BTU,
REFRIG 501-1;000M BTU
REFRIG 1;001=1;150M BTU
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. ,�. L,
CLOTHES DRYER„ f . ,
RANGE
GAS LOG .
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS'APPLIANCE <4do;000 BTU.
UNLISTED GAS APPLIANCE 5400,000 BTU
USED APPLIANCE 400;000 BTU '
USED APPLIANCE 5400;000 BTU
AIR HANDLER 210;000 CFM
AIR HANDLER 510;000 CFM
1
x$10.00 =
x 25.00 =
x 10:00 =
x 12:00 =
is 15:00 =
x 4.00 =
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 =
x 60.00 =
k 10:00 =
St 10:00 =
x 50:00 =
x 10:00 =
10:00
x 10:00
x 10:00 =
x 10:00 =
x
b:oo
X100:00
50:00
xiob:00 =
x 12:00
it 15:00
/ 2
mitt MINIMUM PERMIT FEE IS $35:00
SIGNATURE C
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25:00
EQUALS: TOTAL PERMIT
FEE DUE
$ 3 7- •
Spokane County .Department of Building. and .Safetyy,
West 1303 Broadway Avenue Spokane; WA 99260 (509) 456=3675