1992, 06-26 Permit App: 92004774 Mechanical Fixtures a-\
b« •fl� Q• (?j'�a- MECHANICAL PERMIT APPLICATION FORM 1 a- L .71'4-
Dcoros,k- e, \.'bbs .. Informaticrnr Worksheet /�
JOB STREET ADDRESS: ✓ "t S �z Z G�#(4-Ty l90b
CITY/STATE/ZIP: 9 9.z!.2 PARCEL NUMBER:
OWNER: e°3fR "T seeovc-/£ . PHONE NUMBER: 9 2--6 . 7 Y Y
MAILING ADDRESS: S #4" -'i
(Street) (City/State) (Zip)
CONTRACTOR: RannPrInc.LICENSE NUMBER: BANNEFF378NT
CONTACT: RUSS LUNDE PHONE NUMBER: 535-1711
MAILING ADDRESS: P.O. Box 4346 Spokane, WA. 99202
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 =
WOOOSTOVE/INGRT x 25.00 =
GAS WATER HEATER J x 10.00 = / a.
GAS EQUIPMENT<i 00,000 BTU(INCLUDES' 1 x 12.00 = /: etc,
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS PIPING (EA OUTLET) 2- x 1.00 = 2 a V
BOILER/REFRIG 1-100M BTU x 12.00 =
�OILER/REF.RIG 101 500M 8TU x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
BOILER/REFRIG 1X0001 1,750M BTU::`: x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAT PUMP &AIR CONDITIONER-04 TONS / x 12.00 = / 2 . a
HEAT PUMP & AIR CONDITIONER 3-15 TONS x 20.00 =
HEAT PUMP;:&AIR'CONDITIONER 15-30 TONS x 25.00 =
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
HEAT PUMP &AIR'CONDITIONER +50 TONS x 60.00 =
VENTILATING FANS x 10.00 =
EVAPORATIVE.COOLERS ;:; x 10.00 =
TYPE I HOOD(PER 12' OR 12' PTN. OF HOOD) x 50.00 =
TYPE II HOOD x 10.00 =
CLOTHES DRYER x 10.00 =
RANGE x 10.00 =
GAS LOG x 10.00 =
MISCELLANEOUS(NOT:COVERED'ELSEWHERE x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
ULINSTED GAS APPLIANCE>400,000 BTU x100.00 =
USED APPLIANCE<400,000 BTU x 50.00 =
USED APPLIANCE.>400000 BTU x100.00 =
AIR HANDLER <10,000 CFM x 12.00 =
AIR HANDLER>10,000 CFM x 15.00 =
SUBTOTAL $ .3 E•0
PLUS: PROCESSING FEE + $ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE _ $ 6 oo
SIGNATURE b\
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Spokane County Division of Buildings 1°
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675