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1990, 06-01 Permit App: 90002446 Water Heater:..14ECHANICAL WORKSHEET/FEE:T. sc4EpuLE_--7,.::-.--, . . . .. , - ' NUMBER; ::. - ..i.' X ' EACH DESCRIPTION. ; . . - -..',,J..,,,,r 1:--„-';, OF.:: UNITS,-,..',';-. '.-.-.;'.,,,..,7: UNIT: ' - ---,-;. , ., --::•-•..i.AMOUNT..... DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <igo,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PI VING ( 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 RE FRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER t50 TONS VENTILATING FANS • EVAPORATIVE COOLERS TYPE 1 HOOD. (PER 127- OR 12' PIN. OF HOOD) TYPE II HOOD, CLOTHES DRYER: RANGE - GAS LOG MISCELLANEOUS NOT,.'„ COVERED UNLISTED. -:f GAS API; ELSEWHERE)_ UNLISTED CE. 400' 000-' • - PE USED kkityx-itcK AIR fo 6'15648 AIR HANDLER >10,000 CFM • - x$10.00 x 25.00 = x 10.00 = x 12.00 = x 15/*e--e) 00 = X 4.I.43-0 = 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 = . o = x 10.00 = x =- ;-x-100-."00 = oct50.00 = x10,0 : 00 = = u = NOTE: •-• SIGNATURE • ,,..., I M 7}1Z E IFEE IS t 35=:.1011 .44;-; 1;!;-'''''...: '-•-•-..: -,:'_.!..'.-.•;-...,..---:',:-:,-,-."..,,,,._t: _ , _ 4 . , s , z .,..,,, t,,,41, „1,;.4 , ,,,,..‘,.,; i6.4,' . Z' .. . - ,• ,,-. t-,..z.5•.;,;:,..,,,,t,„;-!....A,k4i4.,-7.4..k-W0,...Af-..--i,-;.•*'- ,." '''r rli7-4'7'2?A'-o n °Kane ACOMItYglepaytmeyJ ,p1Apildinv:ana ,o 41 e e 'PLUS :4PR0CESSINGFEE ° ,EQTJALsisATP,T2S:1-4P...EW T. Xr • 3. CONTRACTOR:SECEIPT ay to: INSTALLATION INVOICE • Store Date Date paid: - • -012370 DM WORK ORDER # CUSTOMER'S NAME PERMIT NO. COMPL INSTALLER CHARGES 2 3 rU 5 6 7 9 10 11 12 (FOR UBE BY CASHIER) CHECK # TOTALS AMOUNT f All supporting detail must be attached. I certify that the installations listed above have all been completed satisfactorily in accordance with the specifications furnished me. ./�,.) (DATE) (CONTRACTOR'S &(NATURE) CONTRACTOR'S INSTRUCTIONS FOR FILLING OUT INSTALLATION INVOICE 1. In Section "A", fill in business name and mailing address in upper left- hand box. 2. a. INVOICE FOR LABOR ONLY. Using the information on the GOTC, complete Section "A" indicating the division, work order number, customer's name, date of completion and charges for labor performed. b. INVOICE FOR MATERIAL AND LABOR. A purchase order will be given with the GOTC for any material you are to furnish on a job, such as: a special plenum for an add-on air conditioner, pipe for water softeners, etc. When sub- mitting your invoice, follow Step 2a and list your labor charges only. On the next line, in the column titled "Work Order #", put the letters "P.O" and the purchase order number. Indicate the customer's name and the charges for the material supplied. c. If you work for more than one Sears store, submit a separate invoice for each store. 3. Total the amount of the invoice & enter opposite word `Totals'. Do Not Enter Anything Opposite Words `Check #'. 4. Remove the #4 copy and retain for your records. This will allow you to have a copy of all bills submitted but not paid. Attach all GOTC's to support the entries, sign and date the invoice at the bottom of Section "A" where indicated. 5. Submit invoice to the Installation Office to process for payment