1990, 10-09 Permit App: 90005256 Furnace, PipingJOB STREET ADDRESS:
MECNA AL PERMIT APPLICATION FO
eformation Worksheet 11
g 7 o Z ' L%/4 Li ---?y 1"47
CITY/STATE/ZIP: fr9-,3"
OWNER: 77'' A -
MAILING 'ADDRESS: ,S*74,frf
PARCEL NUMBER:
PHONE NUMBER:
(Street)
CONTRACTOR: BANNER FURNACE f, FUEL LICENSE NUMBER: BANNEFF378NT
"71-
tate) (Zip)
CONTACT: RUSS LUNDE
MAILING ADDRESS: P.O. BOX 4346
PHONE NUMBER: 535-1711
(Street)
SPOKANE, WASHINGTON 99202
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER )f EACH
OF UNITS UNIT
DESCRIPTION
(Zip)
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100;000 $TU
GAS PIPING (1 - 4 OUTLETS)
GAS PIING (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 & AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 15-30 TONS .i
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS r
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I H000 (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
1'
1'
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
It 12.00
x 20.00
X 25.00
x35.00
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
/.2 0
fon
NOTE: MINIMS •ERMIT E IS $35.00
SIGNATURE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
PLUS: PROCESSING FEE
$ /6.00
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE