1989, 08-25 Permit App: 89003020 ACMECHANICAL PERMIT APPLICATION FORM
Informaticn�/Wcjrksheet
JOB STREET ADDRESS: /V / 3 /.r p,e O G,e :(J ACo
CITY/STATE/ZIP:
OWNER: ie/c1<-( le O Gr N'n l-rJ
MAILING ADDRESS:
PARCEL NUMBER:
PHONE NUMBER:
(Street)
2_ 2_ OL.r5O
(City/State)
CONTRACTOR: BANNER FURNACE El FUEL LICENSE NUMBER:
CONTACT: RUSS LUNDE
MAILING ADDRESS: P.O. BOX 4346
(Street)
BANNEFF378NT
(Zip)
PHONE NUMBER: 535-1711
SPOKANE, WASHINGTON 99202
(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
HEATING EQUIPMENT +100;000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIING (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 & AIR CONDITIONER
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
EVAPORATIVE
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
COOLERS
TYPE I HOOD (PER 12' OR 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
PTN. OF HOOD)
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
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
(2��0
NOTE: MINIM M PERMIT F,EE IS $35.00
Spokane County Department of Build'
West 1303 Broadway Aveue Spokane, WA 89926Safety
a (509) 456-3675
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
$ / 2. 0
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $ 37 0°