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1990, 10-05 Permit App 90005162 Gas PipingJOB STREET ADDRESS: MECHANICAL PERMIT APPLICATION FORM Information Worksheet S ,2a/= Pi/0-r-s SIGgATURE CITY/STATE/ZIP: OWNER: .1-21//kF MAILING ADDRESS: j .43--v CONTRACTOR: PARCEL NUMBER: ` PHONE NUMBER: p% 1/. 0 S (- (Street) BANNER FURNACE & FUEL. CONTACT: RUSS LUNDE MAILING ADDRESS: P . O. BOX 4346 ((Sit /State) (Zip) LICENSE NUMBER: BANNEFF378NT PHONE NUMBER: 535-1711 (Street) SPOKANE, WASHINGTON 99202 (City/State) (Zip) MECHANICAL WOR_KSHEET/FEE SCHEDULE DNUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 HEATING EQUIPMENT +100;000 GAS PIPING (1 - 4 OUTLETS) GAS PIVING (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 HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER VENTILATING FANS BTU BTU 0-3 TONS _ 3-15 TONS 15-30 TONS-_ 30-50 TONS _ +50 TONS' EVAPORATIVE 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 x$10.00 25.00 10.00 12.00 15.00 4.00 1.00 12.00 20.00 25.00 35.00 60.00 12.00 20.00 25.00 35.00 60.00 10.00 10.00 50.00 10.00 10.00 10.00 10.00 10.00 50.00 x100.00 x 50.00 x100.00 x 12.00 x 15.00 47,ecss 7 / v' c7fV/, / r, NOTE: MINIMUM ERMIT FEE IS $35.00 Spokane County Department of Building and Safety West 1303 Broadway Avenue . Spokane, WA 99260 (509) 456-3675 SUBTOTAL PLUS: PROCESSING FEE y_ + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE $ 3S o o