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1990, 08-07 Permit App: 90003786 AC MECHANICAL PERMIT APPLICATION FORM Infgrmation Worksheet JOB STREET ADDRESS: e//G E, /C774 CITY/STATE/ZIP: $ F,/ ,,._( ) t-%a. PARCEL NUMBER: OWNER: /1/6n2 KY!AN fic F F.-MA-Al PHONE NUMBER: MAILING ADDRESS: 6 f-{/0 F /CT, Sfk,e4AJE 4:J,4 Qy:_2/2- (Street) (City/State) (Zip) CONTRACTOR: BANNER FURNACE F, 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 = HEATING EQUIPMENT +100; 000 BTU x 15. 00 = GAS PIPING (1 - 4 OUTLETS) x 4 . 00 GAS 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 = /-R.1 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 _ x 60.00 = VENTILATING FANS X 10.00 = EVAPORATIVE COOLERS x10. 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 $ /,2 .cc PLUS: PROCESSING FEE + $ 25. 00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ 3'7-c SIGNATURE )1e-zit rile 4 Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675