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1990, 02-28 Permit App: 90000682 Furnace, Piping MEUHANIUAL Pitwili APPLIUATIUN FURM Information Worksheet JOB STREET AbbRESS: 50 5 L-i TA g ( CITY/STATE/ZIP: ,f'fh- lit _ PARCEL NUMBER: OWNER: Yui- b-i..1 ; " S (I AJ PHONE NUMBER: , Y 8-°F '' MAILING 4ADD1tES5 S S v S Le r,4 X,p .Sr°0 tr,9 G-.4- (Street) (City/State) (Zip) CONTRACTOR: BANNER FURNACE 4 tun, LICENSE NUMBER: BANNEFF378NT CONTACT: tU§8 LOOMOE PHONE NUMBER: 535-1711 MAILING ADDRESS: , P.O. $0X 4346 SPOKANE, WASHINGTON 9920' (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWOR1t SYSTEM x$10.00 = WOODSTOVE/INSERT x 25. 00 = GAS WATER HEATER x 10.00 = HEATING EQUIPMENT<100,000 BTU t x 12.00 = ) 2, 00 HEATING EQUIPMENT +101000 fTU x 15. 00 = GAS PIPING (1 - 4 OUTLETS) r x 4 . 00 = zi-o ti GAS PIING (5 OR MORE. EACH: ) _ _ x 1.00 = REFRIG 1-100MB (NOT A/c OR HEAT PUMP) x 12. 00 = REFRIG 11-500M BTU x 20. 00 REFRIG 1,001r1,' SOMT _BTU X 35. 00 = - REFRIG 501-1000M REFRIG +1,750M BTU _ _ x 60.00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ X 12.00 = HEAT PUMP & AIR CONDIT/oNER 3-15 TONS _ x 20. 00 = HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25. 00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35. 00 = HEAT PUMP & AIR CONDITIONER +50 TONS x 60.00 = VENTILATING PANS ; - - x 10. 00 = EVAPORA'T'IVE COOLERS x 10. 00 = TYPE I HOOD (PER. IV V OR 12 1-PTN OF-H565) x 50.00 = TYPE II HOOD ,w_ ,Ir .. r , x 10.00 = CLOTHES DRYER: _ _ x 10. 00 = RANGE "- f - - _ x 10.00 = GAS 'ha v,. �.. °..,. .� :., ... .;. .. ... ... _ _ x 10. 00 = MISCELLANEOU (HOiT COVERED ELSEWHERE)- - x 10.00 = UNLISTED GAS 'APPLIANCE :<400,006 BTU x 50.00 = UNLISTED GAS APPLIANCE. >400,000 Wt't1- - - x100.00 = USED APPLIANCE <400,000 1 ' . - - - .� Mak *. .... ... x 50.00 = USED APPLIANCE >400,006 BTU_ _ _ . _ _ x100. 00 = AIR HANDLER <10,000 cPM AIR HANDLER >10,000 CPM - �` x 12. 00 = x 15.00 = SUBTOTAL $ / 4 00 PLUS: PROCESSING FEE + $ 25. 00 EQUALS: TOTAL PERMIT / NOTE: MINIMt1M PERM TPEE Is $35.00 PEE DUE = $ 4 / o a SIGNATURE Arn7`-�'" � S okan ; County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675