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1993, 11-23 Permit App: 93011402 Gas Log, Piping- igvx_ MECHANICAL PERMIT APPLICATION trRO1ECrS: 'S fk ( OWNER: )ct. V � JQV}t.e, /'frN. MAILING AD RESS. CONTRACTOR: (street) IPI{ON`:2- 240 (city/state) (zip) FA1tlEu CEA-Ei LICENSE: Ftj CD 6e. 113 f lel MAILING ADDRESS: E. u e_ (street PHONE: 9.2 - gq 1 I SfoicA4G UJ A ggav/0 (zip (city/state) SIGNATURE: DESCRIPTION OF W • ::[ : iarIi silltilliimmil. . P. , i I.itr AMOUNT w ' FUEL BURNING APPLIANCE .. « <too 000 . $12 - s BO ' FUEL BURNING APPLIANCE >I00.000 . SIS - s .:_ UNLISTED FUEL BURNING APPLIANCE .. « <40000a 550 $f15': UNLISTED FUEL BURNING APPLIANCE >t0oAo0SI00 . BEEG' USED APPLIANCE ust meet WSECs min. AFUE rating) _ - « «oogoo. $SO . • i3: USED APPLIANCE (Must meet WSECs min. AFUE rating) >400.000. S100 . BOILER/REFRIGERATION t—LOOM Bill$12 al BOILER/REFRIGERATION . ..s- tot—so04 RTU ,. 520 . . I{t_ BOILER/REFRIGERATION SOL -1.000M BTU. 525 . $ 8 3t BOILER/REFRIGERATION 1,001—t.7SOMBtU. S35 . r Bit: BOI]L'ERIR.EFRIGERATION +1.750M B111 . 560 - s klil GAS LOG, GAS INSERT. AND/OR GAS FIREPLACE RANGE . - - / / . . $10 SIO _ _ g </6 _ , 4 ::IS DRYER — . S10 - M € FUEL BURNING WATER HEATER —. S10 - s $t7' MISCEL ANEOUSFCTELBURNINGAPPi.IANCB _ - . S10 . s „___- -8(S' GAS PIPING (ea. outlet) — % . Sl - s BI DUCT SYSTEMS • - C . S10 - s $20 VENTIIATINGFANS — . $10 - s PS AIR HANDLER (DOES NOT indude duct systems) - « <10,000 CAM . $12 . s :.;;: AIR HANDLER (DOES NOT include dudsystems) >10.000 C . ' SIS . s Kt EVAPORATIVE COOLERS — S10 - s Bi • E I HOOD .—. $50 - s B • E II HOOD - . S10 - s :V2G` HEAT PUMP/AIR CONDITIONER 0—STONS. $12 . s B_7. AIR CONDITIONER 6-15 TONS. S20 - s B28 AIR CONDITIONER tc-30 TONS . S25 - s B2'9 AIR CONDITIONER 3t—S0 TONS. S35 - s ii iti': AIR CONDITIONER +S0 TONS . S60 - s Gil LPGSTORAGETANK -. S10 - s 23325 WOOD OR PELLET STOVE/INSERT — _ Su _ s NOTE ! INIMUMPE MITFEEIS$3S.G10 • Subtotal / ( ' PLUS: PROCESSING FEE $25.01 TOTAL PERMIT FEE DUE S , TZ SIGNATURE: