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1993, 03-01 Permit App: 93001132 Mechanical Fixtures
4 5c coo Z. 0'0 a'J Yv8 SiiLi ira ADDRZSs:. CITY/STATE/ZIP: rtliMMIwLL nZMj AMILAa" rua�t o� Inf=mtiM NorkmMet 2l --- _ PARCEL umm: OWNER: pHONE HUMBER: ei 1-�- c% ! � MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: VS A-w-'W&as E1-�-G M _y2tj LjCENSE NUMBER: R o,- �p t o !S Z._ PHONE NUMBER: qii - Seo v MAILING ADDRESS: 1\ 9 LL V n A -ma s F t "cj 4 - (Street) (City/State) (Zip) MECHANICAL WORKSHEET/PEE SCHEDULE DESCRIPTION NUMBER OF UNITS X EACH UNIT AMOUNT DUCTWORK SYSTEM_ _ _ _ _ _ _ _ _ _ _ _ _ WOODSTOVE/INSERT GAS WATER HEATER-___ _ _ _ _ _ H"r.ATING EQUIPMENT <100,000 BTU _ _ _ _ _ HEATING EQUIPMENT +100,000 BTU _ _ _ _ _ GAS PIPING (1 - 4 OUTLETS) _ - _ _ _ _ _ GAS PIPING (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 & 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 +50 TONS _ _ VENTILATING FANS EVAPORATIVE COOLE_RS- - - - - _- _ _ _ _ TYPE I HOOD (PER 12' OR 12' PTN OF HOOD1 TYPE II HOOD _ _ _ _ _ _ _ CLOTHES DRYER -_ -_ - -_ -_ -_ _ _ _ _ _ _ _ RANGE- _ - _ _ _ _ _ _ _ GAS LOG _--_-_-_-_-_-_-_ _ __ MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ UNLISTED GAS APPLIANCE <400,000 BTU- _ _ UNLISTED GAS APPLIANCE >400,000 HTV _ _ USED APPLIANCE <400,000 BTU_ _ _ _ _ _ _ USED APPLIANCE >400,000 BTU_ - _ _ _ _ _ AIR HANDLER <10,000 CFM _ _ _ _ _ _ _ _ AIR HANDLER >10,000 CFM _ _ _ _ _ _ _ _ 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 = Y 15.00 = C l ly<e. _ Z. _ _ _ ___ SUBTOTAL, 1 $ w PLUS: PROCESSING FEB + $ 25.00 SQUALS : TOTAL PERMIT I. mm $35.00 !FE DUE= $ �� SIGNATURE �R+r.+Ir�retl-.°#0. S"d sae".