1990, 12-05 Permit App 90006534 Htg Equip9e - 53%
MECHANICAL PERMIT APPLICATION FORM
Information. Worksheet
JOB STREET ADDRESS:
o/y 62oAtJ!^-/�-
CITY/STATE/ZIP: Ste'"4E7 PARCEL NUMBER: /5r.5.-- 9%t 3
OWNER: K" - L
MAILING ADDRESS:
G Lk.�,.riFl
PHONE NUMBER: 7 2 2 3 ? -.
s d 2 - /', �c / G o L-a /3 /
(Street)
CONTRACTOR: BANNER FURNACE & FUEL LICENSE NUMBER:
CONTACT: RUSS LUNDE
MAILING ADDRESS: P.O. BOX 4346
(City/State)
BANNEFF378NT
257
?Po37
(Zip)
PHONE NUMBER: 535-1711
(Street)
SPOKANE, WASHINGTON 99202
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION ONUMBER X EACH
F UNITS UNIT = AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100;000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIPING (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 &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
EVAPORATIVE
AIR CONDITIONER 3-15 TONS
AIR CONDITIONER 15-30 TONS
AIR CONDITIONER 30-50 TONS
AIR CONDITIONER +50 TONS
FANS
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 _
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
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
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
x 12.00
x 20.00
x 25.00
x 35.00
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
9_ o0
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
+ $ 25.00
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675