1991, 07-22 Permit App: 91004384 Furnace, Piping, ACMtGtWnlbML rcn1Yus Arnim/Aaiun run:
°: Iiiformatiy.�. Workshee
_.
3'OH` STREET .ADDRESS: U (o lct
CITY/STATE/ZIP: a; PARCEL. DUMB
N8
/ice
MAILING ADDRESS:
c Street
CONTRACTOR: B,lk-21'6t
PHONE NUMBER: '•GZ2=SQ&v
MECHANICAL WORKSHEET/FSE scHEDULEr
DESCRIPTION.
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIBING (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 &
HEAT PUMP &
HEAT PUMP &
.HEAT PUMP &
HEAT PUMP &
VENTILATING
EVAPORATIVE
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS
3-15 TONS _
15-30 TONS _
30-50 TONS _
+50 TONS
COOLERS•
TYPE I HOOD (PER 12'.
TYPE II HOOD
OR 12' PTN. OF HOOD)
CLOTHES DRYER
RANGE
•
GAS LOG
MISCELLANEOUS' (NOT COVERED, ELSEWHERE)_
TA
UNLISTED GASPPLIANCE <400,000 BTU _
UNLISTED GAS APPLIANCE )400,000:BTU_
USED APPLIANCE <400;000
USED APPLIANCE >400,000 BTU2:_
AIR HANDLER <10,000
AIR HANDLER >10, 000 _CFM :_:;_
NUMBER' X EACH
OF UNITS UNIT
l
•
SUBTOTAL
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
,PLUS -PROCESSING: B,
EQUALS :;_::TOTAL,
1.= AMOUNT . .
Lw