1989, 10-23 Permit App: 89004234 FurnaceJOB STREET ADDRESS:
CITY/STATE/ZIP: .57/94'1-47.. PARCEL NUMBER: 0
OWNER: CAA/ A L• Ca ; . 6 G.. l s "1-45Az PHONE NUMBER: 7.2 z yrs 7
MAILI1f04A6DRESs: s. 1''0- Seow•/ 9q 2/6
(City/State) (Zip)
CONTRACTOR: BANNER FURNACE & FUEL LICENSE NUMBER: BANNEFF378NT
MECHANICAL PERMIT APPLICATION FORM
Ihformatioh Worksheet
1.451 8 PR o Ge sS Ro
(Street)
CONTACT:
iUSS LONDE
MAILING ADDRESS P.O. SOX 4346
PHONE NUMBER: 535-1711
(Street)
SPOKANE, WASHINGTON 99202
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT
(Zip)
= AMOUNT
DUcTWoRk SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER _
HEATING EQUIPMENT <100000 BTU
HEATING EQUIPMENT +100;000 S3TU
GAS PIPING (1 - 4 OUTLETS)
GAS PI1r+ING (5 OR MoRt4 EACH, )
REFRIG 1-100M $TU (NoT A/c OR HEAT PUMP)
REPRIG 101-500M BTU1
REFRIG , 501-1, 000f HTU
REFRIG 1,00i -1,050M BTU
REFRtG +1,'750M BTU _ ,
HEAT PUMP & AIR CONbITXONER 0-3 TONS _
HEAT PUMP & AIR cONbtTIoNER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 15-30 TONS
HEAT PUMP & AtR CONDITIoNER;30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS '
vENTtLATING PANS
EVAPORATIVE COOLERS �;
TYPE I HOOD -(PER 12' OR 12PTH. OF`' HOOD)
TYPE 1f HOo13. ,.
ctoTHES bRYEit._
RANGE '
GAS tAG.. r
MISCELLANEOUS (NOT COVERED Et5EWHERE)- -
UNLISTED CAS APPLIANCE <400,000 BTU_
UNLISTED GAS APPLIANCE X400,000 BTU-
USED APPLIANCE 1100#000
USED APPLIANCE 40o, 000 BTU_. -
AIR HANDLER <10000 c?M
AIR' HANDLER 10j000 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 60.00 =
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 =
NONCE MINIMUM PERMIT ?EE to $35.00
SI *ATURE C 71/
SUBTOTAL
$ / S. o o
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Dep ent of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3615