1990, 10-17 Permit App: 90005456 FurnaceJOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
InfGrmation Worksheet
f Jr.v6A/
CITY/STATE/ZIP:.3.4‘)/47/5. PARCEL NUMBER:
OWNER: 1- I
r yo.✓
MAILING ADDRESS: .5 9 t'l FL
CONTRACTOR:
PHONE NUMBER: 9'.2 6 72 °,S
(Street)
BANNER. FURNACE F, FUEL
CONTACT: RUSS LUNDE
MAILING ADDRESS: P.O. BOX 4346
��d� ry L✓ir
(City/State)
BANNEFF378NT
LICENSE NUMBER:
y 92 o'
(Zip)
PHONE NUMBER: 535-1711
(Street)
MECHANICAL
DESCRIPTION
WORKSHEET/ FEE
SPOKANE, WASHINGTON 99202
(City/State)
SCHEDULE
NUMBER
OF UNITS
X EACH
UNIT
(Zip)
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100;000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIVING (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 &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS _
3-15 TONS
15-30 TONS _
30-50 TONS _
+50 TONS '
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
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 =
Iz - Y
NOTE: MINIMUM PERMIT FEE IS $35.00
t c-rr"
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokanet WA 99260 (509) 456-3675