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 •
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I M 7}1Z E IFEE IS t 35=:.1011 .44;-;
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•
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