1992, 05-29 Permit App: 92003806 Mechanical Fixturesalc�nun�wu rcnmu MrruwIuum runIrl
.information Worksheet
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NTRACTOR:r» . 4WQ. v=. 4C' LICENSE NUMBER: PS042'to Ai v(to (32
PHONE NUMBER: 4
LING ADDRESS: ° Ui $l L 4j3 .':' `' So" ' "
2-3$C9(Q
1' ;(Street),.a... (City/State) (Zip)
1.1111 ..11111.11.1111.1..S
KESNICAL 'ES 'SCHEDULE
DESCRIPTION.
NUMBER X EACH
OF UNITS UNIT • = AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIVING (5 OR MORE. EACH:)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
:w: REFRIG 1,001-1,750M BTU
r,: 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' OR 12'
TYPE II HOOD
PTN. OF HOOD)
CLOTHES DRYER
RANGE
GAS LOG .
.MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400;000 BTU
UNLISTED GAS APPLIANCE >400;000 BTU_
USED APPLIANCE <400,000
,USED APPLIANCE >400,000 BTU-:-'
AIR HANDLER -<10,000 CFM -_
AIR HANDLER >10,000 CFM
•
lip r,.
-t
1
1
SUBTOTAL
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 4.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x.10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00-=
x 12.00 =
x 15.00,.=
/ 2 "'
Z
PLUS.:.. PROCESSIN6.,FEE ,+;,:$•;• 25.00.;
•:KNIT FEE
8'=35.00
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