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1990, 09-13 Permit App 90004579 Furnace
IYItbIIA IMAL rttiimill ArrLiuMIIUn rUttIVI Information Worksheet JUB STREET ADDRESS: .E 77 Off k-U C Ll 0 G'' 7 6`l 2-O� 1 CITY/STATE/ZIP: .2 f}-w+iZ PARCEL NUMBER: OIe-(01- i) /-{ U OWNER: F-b /J A- Al I.-,-+-.,_ PHONE NUMBER: 92 6 - 7 y 7 t MAILING ADDRESS: $,'j-s-, $roo kf 6 tr./A- 9 9 2/L (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 DESCRIPTIONNUMBER X EACH 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 = 12_ .5 . 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 = 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 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 GAS LOG x 10. 00 = MISCELLANEOUS (NOT COVERED ELSEWHERE x 10. 00 = ) UNLISTED GAS APPLIANCE <400, 000 BTU_ x 10. 00 = UNLISTED GAS APPLIANCE >400, 000 BTU x 50. 00 = USED APPLIANCE <400, 000 BTU - - - x150. 00 = x 50. 00 = USED APPLIANCE >400, 000 BTU AIR HANDLER <10, 000 CFM x11 . 00 = AIR HANDLER >10, 000 CFM x 12 . 00 = x 15. 00 = SUBTOTAL $ ' 2 _ C• PLUS: PROCESSING FEE + $ 25. 00 NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTAL PERMIT - ^ FEE DUE _ $ 3 7, o c SIGNATURE 241 f c West 1303aBroadway Avenue Department of Building and of 509 456-3675