1990, 10-26 Permit App: 90005703 Heat Pump MECHANICAL PERMIT APPLICATION FORM -c,2_,7''-1,--4 (
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Informatio;i'Worksheet L.9
JOB STREET ADDRESS: �,S' / '7 er-V- ��`agoe L/N/ A
CITY/STATE/ZIP: S/97�eC PARCEL NUMBER: 4=1:?St. /-6a-67
OWNER: FizAwk-. W 1 Lc.rKe,t-ice G PHONE NUMBER: 9 24 1.Z. ..? 7
MAILING ADDRESS: SA"rnk /'9 20 C
(Street) it tate) (Zip)
CONTRACTOR: BANNER FURNACE & FUEL LICENSE NUMBER: BANNEFF378NT
CONTACT: RUSS LUNDE PHONE NUMBER: 535-1711
MAILING ADDRESS: P.O. BOX 4346 SPOKANE, WASHINGTON 99202
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM x$10. 00 =
WOODSTOVE/INSERT x 25. 00 =
GAS WATER HEATER. , : x 10.00 =
HEATING EQUIPMENT <100,000 BTU x 12.00 =
HEATING EQUIPMENT +100;000 BTU x 15. 00 =
GAS PIPING (1 - 4 OUTLETS) x 4 .00 =
GAS PIING (5 OR MORE. EACH: ) x 1.00 =
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12.00 =
REFRIG 101-500M BTU x 20.00 =
REFRIG 501-1,000M BTU x 25.00 =
REFRIG 1, 001-1,750M BTU x 35. 00 =
REFRIG +1,750M BTU x 60.00 =
HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ ( x 12.00 = / 1-4O
HEAT PUMP & AIR CONDITIONER 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 FANS x 10.00 =
EVAPORATIVE COOLERS x 10. 00 =
TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 50.00 =
TYPE II HOOD x 10.00 =
CLOTHES DRYER x 10.00 =
RANGE x 10. 00 =
GAS LOG x 10.00 =
MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10.00 =
UNLISTED GAS APPLIANCE <400,000 BTU_ _ - x 50.00 =
UNLISTED GAS APPLIANCE >4-0_Q, 000 BTU_ _ _ x100.00 =
USED APPLIANCE <400,000 BTU ~ x 50.00 =
USED APPLIANCE >400,000 BTU x100.00 =
AIR HANDLER <10, 000 CFM x 12 . 00 =
AIR HANDLER >10, 000 CFM x 15.00 =
SUBTOTAL $ 12.00
PLUS: PROCESSING FEE + $ 25. 00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT EE IS $35.00 FEE DUE = $ 37_ 00
SIGNATURE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokdiie, WA 99260 (5u9) 456-3675