1992, 04-22 Permit App: 92002760 Water HeaterM bIU n� rcnm�� ArruwinuN rungs
Taformati0U
jO* STREET 3D.
QTY/$TATEJZ
LING ADDRESS
u (Street)
CONTACTOR: atiu S VA-ANv _
MING ADaR S3:
aR-16
`';(Street)
F ti (City"/State) (Zip) •
$tc NSE NU1kaER: -tom Vir A. \, i l7 c3 Z
•
PHONE NUMBER: i -9 --fl J
(City/State)
MECHANICAL WORKSHEET/FEZ SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
=AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIING (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
AIR CONDITIONER 0-3 TONS _
AIR CONDITIONER 3-15 TONS
AIR CONDITIONER 15-30 TONS
AIR CONDITIONER 30-50 TONS
AIR CONDITIONER +50 TONS _
FANS
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
USED APPLIANCE <400,000 BTU_
,USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
: AIR HANDLER >10,000 CFM
4miY. -IL
x$10.00
x 25.00
4A11.1 --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
x100.00
x 12.00
x 15.00.
_
_
=
_
_
gs
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