1991, 09-17 Permit App: 91005973 Mechanical Fixturesk •
.701STREET ADDRESS:
CITY/TAT/ZIP:
. . 4
rtnans Arrubassunrunne
information, Worksheet
LS,
PAR
0 ..:'. PROW NUMBER: ,i'2.S$Sm
MAILING ADDRESS:,,rL rs'US--
_. ,
(Street) - - -'y
CONTRACTOR: R-Pcij7k4j
•,
MA LING ADDRESS: it_ALS(L
"-- (City/State) -y(Zip)
CENSE NUMBER: qn4,-4,.44.,sq (uS
PHONE NUMBER: q2 -12-&-i0 c)
k.' ,(Street)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
y/State)
NUMBER X EACH
OF UNITS UNIT
(Zip)
OUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
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
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
1410.00 =
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 5000 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
X 50.00 =
x100.09
x 12.
15.00'
t
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