1992, 07-29 Permit App: 92005856 ACCAL- 5 g5k•
• MECIIIICAL PERMIT APPLICATION F 1lStL4°
Irwormation Worksheet n L,04
JOB STREET ADDRESS: * `'7' 7-' V1lU_ { ,j
CITY/STATE/ZIP: 7 1 2-/Z- PARCEL NUMBER:
OWNER: '7, "i Ip o.1` 7 of PHONE NUMBER: 5"Z4F- / 8`8,3
MAILING ADDRESS: Jrs ^ `£-
(Street) (City/State)
CONTRACTOR: Rannpr Furnace & Fuel, Inc.LICENSE NUMBER: BANNEFF378NT
CONTACT: RUSS LUNDE
MAILING ADDRESS: P•0.
DESCRIPTION
Box 4346
PHONE NUMBER: 535-1Z] 1
Spokane, WA.
(Zip)
99202
(Street)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE)INSERT
GAS WATER HEATER
GAS EQUIPMENT<100,000 BTU (INCLUDES
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG.101 50.0M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1;0001 �1,750M BTU:<
BOILER/REFRIG +1,750M BTU
11901111•1910P.& 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 =
x10.00 =
x12.00 =
x 15.00 =
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 =
/,l- • +
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
SUBTOTAL
$ /.t_' •a
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ 437"
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675