1992, 10-01 Permit App: 92008303 Mechanical FixturesJOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER: x -E.-1
MAILING ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
- Information Worksheet
/8.32 a
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PARCEL NUMBER:
PHONE NUMBER:
7z73 '7
CONTRACTOR: Rinner
CONTACT: RUSS LUNDE
(Street) (City/State)
Furnace & Fue1, Inc .LICENSE NUMBER: BANNEFF378NT
PHONE NUMBER: 535-1711
MAILING ADDRESS: P.O. Box 4346
(Zip)
Spokane, WA. 99202
DESCRIPTION
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
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 Bill '<
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 $35.00
SIGNATURE
SUBTOTAL
x 10.00
x 25.00
x 10.00
x 12.00
x 15.00
x 1.00
x 12.00
x 20.00
x 25.00
x 35.00
x 60.00
x 12.00
x 20.00
x 25.00
x 35.00
x 60.00
x 10.00
x 10.00
x 50.00
x 10.00
x 10.00
x 10.00
x 10.00
x 10.00
x 50.00
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
/ 0.0
d
2`/-°1
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
25.00 1
=$ y9oo
li
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675