1990, 11-28 Permit App: 90006418 Mechanical Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws arid ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
r - _ _ E_ NUMBER 90006418 ; a : ; ? :.: : 7
PAGE= 1 {:
RmIT
...: ,... ,,.... .....:.....:.......:--.:;.:;- :,,.s a;-a:.;::,:..i:.::.:}:.:;.::.:};.:'::.::.::.P.P.:;.:::. !•.
i .} ,}�9 #r 3!.#... '.. rt#...r.,•.. .t �}..u,.}y.:,r:!?�•!i iY'.. ..-..t:.•.t..,#.,...#t).#.#.#.#.#,
7r•#;=!r,r �:::•':�::�r•#!:;:,:::!:• #.#:.: r:!c,!:�{':+r• E;:.!^•:I'I.i. . .,.: ! `..,lit%�r•� ; ;v,i , !
SITE STREET—.... 3514 SHARP AVE F i"!i`:{.:t.7.i...'11•..-. 18541 .. .......a..
ADDRESS- SPOKANE WA 99212
PERMIT !; . INSTALL e i a 4 r . i. " ~tti :t
: PIPING
:...,'.; t .Y...... '::'0162.. -,k...f"t S S'y i"4.3..t.,H-.1.i::s._i....w L:i.;;i•c`.t;, ..
AREA=i.
,... : :..._ r}'I I.l `wt
:. ::••.. . SPOKANE
:. x
99212
:a.:::::::.'.:'.::i.:,*::::.:•.:t::•:.a:.1:a:. {.s:..}::•. :;}::'.::.::. f•'i�•r!`m. '!+i i'{•-Pi!i i+i'!$3`r;+i'!!i•k')t i++r'!}i"i'P:.i,}:5,: 'ai 3!i:7U'hi 3F'•!h:!i•};':
::a•{ ., a Y, .•.. 7. 1 .. ., i%:...,..,;
.. . :� :�. : .. .. :-. +{ A {..i...,{ a. a..{ R�{ J+. 1.#. ..I::.�_:i"t hf i'•?.t.t..:-'t.-. i __I.. ... ?
CONTRACTOR- -BANNER UF":i',?f•iit..:t:: •. Flirf rnt`.L.: PHONE=
STREET= P 0 BOX 4346
ADDRESS= .:.I"•l.KANNE WA 99202
... t C..M it t:.-S;.:•i{._.. t .t.L; •.. . ... : . .::i::. tint t
rcE
AMOUNT
FF
11 /20/90 7 77 00
TOTAL DUE- ,00 TOTAL PATD,, 41 „00
PERMIT TYPE t::'E AMOUNT i:"!,UNI PAID •iMa, UNI OWING
MECHANICAL
!..t'HAN.S.i.:Aty. '!•{M : 41 ,00 41 ,00 s.00
PROOESEED BY': JOHN LARSON
' PRINTEDBY : JOHN -. .
:'i : :# # ) 9 :: : { { i k: :3. { : { „ { {: i:a: {: {, {"# i� % 'YOU : � l :j : i { : rya:H� : :: i: ii: :R: : n:: y1 1i.# { :i
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet /34 A Y
JOB STREET ADDRESS: r- J'5/V S 1/,/m /4,-.5-9/ - 0 f-,7 „A
CITY/STATE/ZIP: JAS • PARCEL NUMBER: G
OWNER: T 1i"[ P/41.-4- (- PHONE NUMBER: 9..2 G k 9 Y 2
MAILING ADDRESS: ?9.2/ 2_-
(Street) (City/State) (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 = /ot d
HEATING EQUIPMENT 4-100; 000 BTU x 15. 00 =
GAS PIPING (1 - 4 OUTLETS) / X 4. 00 = L/. c.) ':-
GAS
eGAS 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 =
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 _ -1, x 60. 00 =
VENTILATING FANSx 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 >400, 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 $ / G vo
PLUS: PROCESSING FEE + $ 25. 00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT F IS $35.00FEE DUE = $ y I . oa
SIGNATURE C 1,, ,
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675