Loading...
1992, 08-31 Permit App: 92007010 Mechanical FixturesJOB STREET ADDRESS: MECHANICALPERMIT APPLICATION FORM Information Worksheet 1i1 .2(o0CetilJ- CITY/STATE//ZIP: S,np 193/a PARCEL NUMBER: OWNER: 13tA( k& AAe.i P.- PHONE NUMBER: 92(o 'J &' -5 MAILING ADDRESS: - En (Street) (City/State) (Zip) CONTRACTOR: f n 1C4Th C 14iZDEjJ CE,.IFFa LICENSE NUMBER: 1r4ICD CdC.I-73 b LA PHONE NUMBER: (50g) 9.26,-d'9 1l MAILING ADDRESS: E • q31 CJ 3p2Aque_ _--.S.not,q 1� wa c1923(140 - (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE c.. DESCRIPTION • ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOOOSTOVE/INSERT' `:`-:.:.:a: <:_:...::,„.r•..::: GAS WATER HEATER GAS EQUIPMENT-c1009000;6TU; INCLUDES:::„„ GAS EQUIPMENT+100,000 STU DUCTWORK)': GAS PIPING`(EA000TLE. BOILER/REFRIG 1-100M BTU 801LE FIEFIteT01`-500Mt iL BOILER/REFRIG 501-1,000M BTU IBg1LER/REFAIG70D0i=;750M:`B BOILER/REFRIG +1,750M BTU,,tz 41FJAT PUMP R!R:COl:Di310ivER 0 3 `14,0§..... HEAT PUMP & AIR CONDITIONER 3-15 TONS HEATSPUMP ikeONDjTdONEF3s7S QTONS:__ HEAT PUMP & AIR CONDITIONER 30-50 TONS g0,9NIp &Afft CONDIi10NEP +SU TONS=` ' VENTILATING FANS:` :n ' . .::...:.... .;= _:: Fr.:' "EVAPORAIYE;_000LERS ii TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD :TYPE31 HOOD.,” az CLOTHES DRYER GAS LOG :MISCELLANEOUS (NOT. COVERED:ELSEWHERE: UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED.GAS ApPLIANCE>400,000.BTU `_ USED APPLIANCE <400,000 BTU USED APPLIANCE >400;000' BTU;; AIR HANDLER <10,000 CFM AIR HANDLER >10 000 .: s,a NOTE MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT = AMOUNT x10.00 = x25.00 = x 10"00 =- x 12.00 =;... x 15.00'=%'; x 1.00:°-;,;n x 12.00 `'= r: _x20.00' '_: x25.00.= `' 35.00;_.,: x 60.'00:=:-L_• x 12.00- - x 20.00 =... x 25.00_=:- x60.00"-:•:" x10.00.=' x10.00=`._ x 10.00.=ir: x10.00=.. 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 = I I p ?° a:. , ..-;: a.�.... , .:.,:: _ - ........_ _ ... i ::,u,c-.. 1, -N...__ _. ..,',,:5:::.::::;.: -., .._:. .4.:Z., -.- :Y ..:a.__._a'-'"- _x20.00= ....:..: .:... .. ; ;3, :v;4.�N.:-: _... -..•... ".",..._ ".. _ , .-: .,..: , ..: -.._. ..,-" ::,,. _, ....,,_-�..'- .. _ ....,. :......,.: I /D °' SUBTOTAL $ aaou PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT/� FEE DUE , 00 =$ y Spo nnE• _ _' Buildings