1990, 07-09 Permit App: 90003179 Mechanical FixturesJOB STREET AbDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: S'e9r"+4.5._
OWNER: i444s 612
MAILING ADDRESS: e.S' A:"
(Street)
BANNER FURNACE $ FIJEL
CONTRACTOR:
CONTACT:
RUSS LUNDE
PARCEL NUMBER:
,7>o6
PHONE NUMBER: 9;2 V 74 KS
stow 45_tJM
(City/State)
BANNEFF378NT
LICENSE NUMBER:
03'7
(Zip)
PHONE NUMBER: 535-1711
MAILING ADDRESS: P.O. BOX 4346
(Street)
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 EQUIPMKENT <100,000 BTU
HEATING EQUIPMENT +100;000 BTU
GAS PIPING (1 = 4 OUTLETS)
GAS PIING (5 OR MORE. EACH:)
REFRIG 1-1oo4 UTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1000M BTU
REFRIG 1,001=1,150M BTU
REFRIG - -1,150M BTU
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE 1 HOOD (PER 121 OR 121 PTN. OF HOOD)
TYPE ti HOOD .,;.
CLOTHES DRYER,.
RANGE
GAS LOG_
MISCELLANEOUS(NOT COVERED ELSEWHERE)_
UNLIETEb GAS APPLIANCE <400,000 BTU_ _
UNLISTEb GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE 3400,000 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 =
It 10.00 =
x 10.00 =
R 10.00 =
x 10.00 =
x 10.00 -=
x 50.00 =
X100.00 =
x 50.00 =
x100.00 =
X 12.00 =
x 15.00 =
/2oa
NOTE: MIN±14tj PERMIT FEE IS $35.00
SIGNATURE
%-1?
Spokane County apartment of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
PLUS: PROCESSING FEE
$ }2-
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ 37-�d