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