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2004, 07-21 Permit App: BLD-04-07151 AC04/13/2004 09:52 5098389816 - TNT HEATING APR 06 2003 12'39 FR j PERMIT APPLICATION rAbt of TO 8389816 8.01431 X)Lela\LI2° rPRDR53T . ADDR699: 11 Do 3 a Mo--rn,�rirmcla 1 PHDNk'(60y0ma Tr �%i' `. (UIy/StFAte) 9 3 •S Ad �` �,�]� L Iia STM1 3 • (n' OWNERtc. n .l e 1 �y�.� 71v MAIUNG ADDRESS .1 (street) - 1 >.s - --\ c! -N-f C H -\1 a NA - (119 L7 mum\ .0 30 'cMSS) C-) ONE IA • X(391 R?) . ?g1°) 2 • .100,000 (street) (ct(y/state) (zip) BAN:WA3D madam AUTRORR.Bv SIGNATURE: ** TOTAL F AGE. 01 ** DESCRIACONOFwon sNn CC I Nit EMU AMOUNC - 1 FUEL BURNINGAPPLIANCE •ORc100,000 X 010 • 2 FUEL BURNING APPLIANCE .100,000 X $19 e 3 UNLISTED APPLIANCE (ADDITIONAL FEE) •OR400.000 X 000 • .4 UNLISTED APPUANCE (ADDITIONAL FEE) M00,000 X $100 - 0 USED APPLIANCE(WSE0 moi. AFUE 1Btlnp) •OR4400.000 X SSD • O USED APP mit SUE rate "400,000 x 0100 0,. 7 a 00FRIR61sPoGERATION 1-100M BN X 313 • 0 BOILER/REFRIGERATION 101400M BTU X - $29 • 9 BOILER/REFRIGERATION 501-1,00014 0111 X 339 - 10 800I=RIREFRJGERATION 1001-1.75014 BTU X SW 11 BOWER/REFRIGERATION +1750M BTU X 905 • 12 GAS LOG GAS INSERT, GAS PREPLAce - ., X $10 • 13 RANGE - X ' 910 �' 14DRYER - X $10 .- • ' 15 FUE1, BURNING WATER HEATER - X $10 18 MIBbtLLANEOUE FUEL BURNING APDL - X 510 • 17 GAB PIPING (M. Outlet) - X Si e 10 DUCT SYSTEMS - X $10 • 19 VENTILATING FANS - X $10 P 20 AIR HANDLER (DOES NOT it, dcllg) 00Rc1 D,000CFM X $12 • 21 AIR HANDLER (DOES NOT include dining) >10,000CFM X $19 • 22 EVAPORATIVE cODLERS - X $10 - 23 TYPE I HOOD - >Z e 24 TYPE II H00D - X BIo - 20 HEAT Ptth/AOt CONDITIONER o-3 TON X . $12 • Ell Atli COMMONER 3-16 TON 1 X $20 • 1n•CO 27' Atli CONOMONER 15-30 TON x- 20 AIR CONDITIONER 3040 TON X $35 • 29 AIR CONDITIONER . '80TON X Sao 30 LPG STORAGE TANK - - X CO 31 WOOD OR PELLET5TOVE91SERT - X $10 • 32 WOOD STOVE - FREE STANDOJG - X S25 - CI DATE - CASH D c2I>1cs 0 0 tame bwout o aatas00Ao®e® OPAaticaa19R® __ HRPIR• Ra al Vrtttrf i nt CA ' SUBTOTAL >m PLUS PROCESSING FES B35 a) TOTAL PERMIT FEE DUE BAN:WA3D madam AUTRORR.Bv SIGNATURE: ** TOTAL F AGE. 01 **