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1990, 08-28 Permit App: 90004244 Heat Pump
MECHANICAL PERMIT APPLICATION FORMS Informatioji Worksheet 02/-6 (12 - 2 JOB STREET ADDRESS: /6714, r, /, T/-1 y0 / CITY/STATE/ZIP: $Per,k/4Air.- Z(?,q .4V -C,4 PARCEL NUMBER: eV/3-‘74.3 7 //,'2 OWNER: T?in fn Y .D,4nr N f�_ PHONE NUMBER: rj -c' ..0 MAILING ADDRESS: iC7/i I , i.27H 3( /0-Ate, Lt A- g 206 (Street) (City/State) (Zip) CONTRACTOR: BANNER FURNACE $ FUEL LICENSE NUMBER: BANNEFF378NT ,�27x ,D CONTACT: RUSS LUNDE PHONE NUMBER: 535-1711 yp ,, At), MAILING ADDRESS: P.O. BOX 4346 SPOKANE, WASHINGTON 99202 Isigammarmignaminsim( � 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 PIVING (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 _ _ I x 12.00 = /- ,,be)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 x 10. 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, 4,4) PLUS: PROCESSING FEE + $ 25. 00 EQUALS: TOTAL PERMIT NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $ 3'7 PP SIGNATURE .). ..z.v YhdvC., Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675