2007, 05-24 Permit App: 07001927 Mechanical Fixturese;orri_ : M+L MECHA/N I COAL
•
FAX NO. :5093269334 May. 21 2007 10:38AM P2
MECHANICAL PERMIT APPLICATION
PROJECT j n A (,
PERMIT /�
USE: 0 i L -la GAS . C' i 6011
PHONE (Daytmee Contact):
ADDRESS: '3 ° ' T-Auhb
OWNER: f" c. r -KJ i 1 e ,�...1..
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MAILING ADDRESS: 0364_ e: Citrill- L DO 5pAR A
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lAii '
(street) jcity/state)
• (zip)
CONTRACTOR:
?�4-L 'N'-•a-►P-P(CAL. 1_LU
LICENSE t
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tc4-2A1.1
MiJLING ADDRESS:
PV go< id)
PHONE #:
So°l
3v.-fit"7
•
a
(street) (city/state)
(zip)
NLAtBEA:
WHIT-:OR12ED SIGNATURE:
MAY 21 2007 10:59
5093269334 PAGE. 02
DESCRIPTION OF WORX
* 01, uant
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR<100,000
i
X
X
315
319•
•
a
2
FUEL BURNING APPLIANCE
>100.000
-3
UNLISTED APPLIANCE (ADDITIONAL FEE)
=OR<400,000
X.
550ts
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
>400,000
X
3100
•
6
USED APPLIANCE(WSEC min. AFUE rndr1(4)
•OR<400,000
X
350•
6
USED APPLIANCE(WSEC min. AFUE retry)
>400,000
X
$100
7
BOILER/REFRICERATION
1-100M BTU
X
315
-
6
BOILERJREFRIOERATION
101-500M BTU
X
426
+
. 9
BOILERREFRIGERATION
501-1.000M BTU
X
439
. 10
BOILERLREFRIGERATION
1001-1,750M BTU
X
357
11
2OLLER/REFRIGERATION
.1750M BTU
X
395
.12
GAS LOGGAS INSERT, GAS FIREPLACE-
.,
X
510•
13
RANGE
•-
X
510
-
14
DRYER
-
X
410
..•
13
FUEL BURNING WATER HEATER
X
410
-
16
MISCELLANEOUS FUEL BURNING ADPL
- -
X
410
17
GAS PIPING (ea. Outlet)
- -
2—
X
41
=
••"1
r
18
DUCT SYSTEMS-
X
510
,•
19
VENTILATING FANS
..
-
X
410
20
AIR HANDLER (DOES NOT Includeducdnp)
-OR<10,000CFM
X
412
-
21
AIR HANDLER (DOES NOT Include ducnn0)
>10,000CFM
X
316
22
EVAPORATIVE COOLERS
-
X
310
23
TYPE.I HOOD 7
-
X
$50
-
2.
TYPE U HOOD-
X
410
23
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
412
28
AIR CONDITIONER
3-15 TON
15-30 TON
X
X
S20
425
•
-
27
AR CONDITIONER
26
AIR CONDITIONER
3050 TON
X
335
-
29
WR CONDITIONER
. +50TON
X
180
•
30
LPG' STORAGE TANK-
X
310
..
31
WOOD OR PELLET STOVEANSERT
-
X
410
-
32
W000 STOVE - FEE ST&DiNG
-
X
426
_yna:n ...•rwr
/7a°
O
n.^.
1
"7-7.. Cr{Cr{ PATIaNY
-
.'
SUBTOTAL
1
C''`{ ❑ CRE cc 0 IS p
' AX_0 PFlscfl 'IT 0.`.:Y 6E ACC
F$35.00
OP A1tvCAvrD-CARD
_ cvnrnc.
:-
,
PLUS PROCESSING
FEE
I
TOTAL PERMIT FEE 1Co
DUE (
NLAtBEA:
WHIT-:OR12ED SIGNATURE:
MAY 21 2007 10:59
5093269334 PAGE. 02