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1991, 05-01 Permit App: 91002230 Mechanical FixturesJOB STREET ADDRESS:. CITY/STATE/ZIP: MECHANICAL PERMIT APPLICATION FORMSys �� r Information;Worksheet nl / 9 19]::1;1A.“ ' Kra L y 83_ OWNER: `J fl Cii< i'h C ) G- O MAILING ADDRESS: CONTRACTOR: 'PARCEL NUMBER: --?' ,'C35 -/b L1 PHONE NUMBER: 7- V '/0 7/ • (Street) BANNER. FURNACE F, FUEL COMPACT: ROSS LUNDE MAILING ADDRESS: P.O. BOX 4346 (City/State) (Zip) LICENSE NUMBER: BAMJEFF378NT PHONE NUMBER: 535=1711 (Street) ,SPOKANE, WASHINGTON 99202 (City/State) (Zip) -MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT 5100;000 BTU HEATING EQUIPMENT +100;000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PIVING (5 OR MORE: EACH:) REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & HEAT PUMP & VENTILATING EVAPORATIVE AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS 0-3 TONS -. 3-15 TONS 15-30 TONS t 30'-50 TONS +50 TONS,' COOLERS TYPE I HOOD -(PER 12' OR 12' TYPE II HOOD . .- PTN. OF HOOD) CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) UNLISTED GAS APPLIANCE 5400,000 BTU UNLISTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU ' USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,006 CFM, x$10.00 x 25.00 x 10.00 x 12.00 x 15:00 x 4:00 x 1.00 x 12.00 x 20.00 x 25.00 x 35.00 x 60:00x= x 12.00,= x 20:00" x 25.0070 x 35:00 = x 60:00_ x 10.00 = x 10.00 = x 50:00 = x 10.00 = x 10.06 x 10.00, x x 10:00 = x 50.00 = x100..00 x 50.00 = x100.00 = x 12.00 = x 15.00 = o a y_o NOTE: MINIMUM PERMIT FEE I8 $35.00 SIGNATURE SUBTOTAL $ ;J.-ov PLUS: PROCESSING,FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ --)- a » Spokane /County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) .456-3675