1991, 10-18 Permit App: 91006956 Mechanical FixturesMECHANICAL PERMIT APPLICATION FORM
Information Worksheet /
JOB STREET ADDRESS: - `t'" t"l'r7O % /1-1/4-1,
CITY/STATE/ZIP: Q 927 PARCEL NUMBER:
OWNER: IS .4J( cre6 12yA'7-7 PHONE NUMBER: ?26. 77 9 9
MAILING ADDRESS: .fiq-y'-`
(Street) (City/State)
CONTRACTOR: Banner Furnare_&_Euel , Inc LICENSE NUMBER: BANNEFF378NT
CONTACT: RUSS LUNDE
MAILING ADDRESS: F.O. Box 4346
PHONE NUMBER: 535-1711
(Zip)
Spokane, WA. 99202
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
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-.1Jaw 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>400,0 00 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE>400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER );10,000
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 =
x 12.00 =
x15.00 =
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 =
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 =
(
7 a, o -o
L
/f 0°
.2-
Z_ o
'
2a, e.
SUBTOTAL
$ y7.a*
+ $ 25.00
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
=$ 7 2 p0
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675