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1990, 07-12 Permit App: 90003270 Mechanical FixturesJOB STREET ADDRESS: CITY/STATE/ZIP: OWNER: A - LF MECHANICAL PERMIT APPLICATION FORM Information' Worksheet •\ o2' SS 05 Poe€sr-co PARCEL NUMBER: PHONE NUMBER: 92'' MAILING ADDRESS: S(°O K19-4 (,J4 9 9z 0L (Street) (City/State) (Zip) BANNER FURNACE F, FUEL CONTRACTOR: CONTACT: RUSS LUNDE MAILING ADDRESS: P.O. BOX 4346 LICENSE NUMBER: BANNEFF378NT PHONE NUMBER: 53S-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 <100,000 HEATING EQUIPMENT +100;000 GAS PIPING (1 - 4 OUTLETS) GAS PIVING (5 OR MORE. EACH:) REFRIG 1-100M BTU (NOT A/C OR REFRIG 101-500M BTU BTU BTU HEAT PUMP) REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER VENTILATING FANS 0-3 TONS 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS EVAPORATIVE COOLERS TYPE I HOOD -(PER 12' OR 12' TYPE II HOOD CLOTHES DRYER RANGE PTN. OF HOOD) GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) UNLISTED GAS APPLIANCE <400,000 BTU UNLISTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM 1 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 60.00 = 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 = . O 6 /1-0 0 NOTE: MINIMUM RMIT FEE IS $35.00 Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE $ 22-0 e + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE