1990, 03-09 Permit App: 90000804 Heat PumpJOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Iriforiiatioh Wgrksheet
/(20 20 r13st0..1
CITY/STATE/ZIP:4 S(e}r PARCEL NUMBER:
OWNER:
OR.U.jc-c_ E. • CAS —
MAILING ADDRES:
CONTRACTOR:
(Street)
BANNER FURNACE Fr FUEL,
CON'T'ACT: RUSS LUNDE
PHONE NUMBER: 7,z 7.2 9 9
Selo KR.-. G tr/k
(City/State)
LICENSE NUMBER: BANNEPF378NT
"79'IuG
(Zip)
PHONE NUMBER: 535-1711
MAILING ADDRESS: P.O. BOX 4346. SPOKANE, WASIITNGTON 99202
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
BEATING EQUIPMENT +100;000 BTU
GAS PIPING (1.- 4 OUTLETS)•:,
GAS PII;ING (5 OR MORE: EACH:) _
REPRIG T -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 & 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 CONDITIONE11.,+50 TONS
VENTILATING FANS ,.r
EVAPORATIVE -COOLERS_ :.;a._ - _
TYPE I'HOOfr (PER 12' OR 12' PTN: OF HOOD)
TYPE'II.HOOD .
CLOTHES DRYER_.. •ti' .n : .
MISCELLANEOUS 671715OVEREE ELSEWHERE)
UNLISTED GAS APPLIANCE:;<400;000-BTU.
UNLISTED GAS APPLIANCE,>400,000 BTU..
USED APPLIANCE- <'400, 060.BTU_
USED APPLIANCE '5400;000. BTU,.
AIR, HANDLER'<10;000 'CFM
AIR; HANDLER -•Y10; 000- CFM
i1
NOTE: MINIM M PERMIT " E IS $3:00
sr.GNA41JRE._....
r
SUBTOTAL
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 =
k 12.00 =
x 15.00 =
PLUS: PROCESSING FEE
/2-° 4
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
— $ 37-cn
Sppokane ,County .Department of Building. and Safety
West I303; Broadway Avenue ;, Spokane, WA 99260 (509) 456=3675