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1991, 10-23 Permit App: 91007090 Furnace
MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: /0 41 I 0 -S in/ Ya CITY/STATE/ZIP: 01 PARCEL NUMBER: OWNER: S `YOU E40 13 (AN& C`-4-� PHONE NUMBER: 4/- Tao /154/ . €2".6Q cZ 279S MAILING ADDRESS: (Street) (City/State) CONTRACTOR: Banner Furnace & Fue_1 , Inc .LICENSE NUMBER: BANNEFF378NT CONTACT: RUSS LUNDE MAILING ADDRESS: P.O. Box 4346 PHONE NUMBER: 535-1711 (Zip) Spokane, WA. 99202 (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) ....................................................................... WOODSTOVE/INSERT GAS WATER HEATER GAS EQUIPMENT <100,000 BTU (INCLUDES D(L_. * EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG>:101-500M BTU BOILER/REFRIG 501-1,000M BTU .................................. BOILER/REFRIG 1,0001-1,750M BTU BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP &`AIR CONDITIONER +50 TONS VENTILATING FANS ............... . 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 ULINSTED 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 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = x 12.00 = x15.00 = 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 = x60.00 = 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 = x50.00 = x100.00 = x 12.00 = x 15.00 = / "ov SUBTOTAL $ /5,00 + $ 25.00 PLUS: PROCESSING FEE EQUALS: TOTAL PERMIT FEE DUE = $ 9°-0° Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675