1993, 11-12 Permit App: 93010979 Mechanical Fixtures1
�I'R� OJECI' ADD2GSS:
OWNER:
MAILING ADDR -
CONTRACTOR:
MECHANICAL PERMIT APPLICATION
I /I A / . - ///7 -
IONC:
(city/state)
zip
MAILING ADDRESS: E. C A 1A A
(street (city/state) (zip)
DESCRrMON OF WORK
IOL—soom um
.autts-
UNT
FUELBURN NGAPPUANCE
Q oc <100,000
$12 r
B(Y FUELBURNINGAPPLIANM
>100A00
$15 _ r
$( UNLISTED FUEL BURNING APPLIANCE
- oc «00,000
$50 _ r
B45 [Jl,,lrJ A FUEL BURNING APPLIANCE
>400AM
5100 _ r
i BES' USED APPLIANCE uA meet WSECs min. AFUE ratin
4
- « <t00,g00
SSO r
L.UJJs. UJ=j^rrLIALVtx Mt=MC4 t w5 smilt.E�t'u�isun >[aoAOO . i1W _ t
IBCtf3? BOn FT? IGERATION I—loom um . $12 _ r
1�.. BOA --IF I ATION
IOL—soom um
$20
r
BOILER/REFRIGERATION
sot—Qmm um
9
$25
- r
8 1= BOHMVREFRIGERATION
loot-1.7soM Btu
a
$35
_
8 : BOU RM.El-MGERATION
+L750M BM
aS60
_
$> GAS LOG; GAS INSERT. AND/OR GAS FIREPLACE
—
SIO
_ :
Biel' RANGE :
—
SIO
_ c
�S DRYER
—
S10
_ r
MFUELBURNINGWATERHEATER
—
SIO
_
IMCELIANBOUSFUELBUMINGAPPLIANCE
—
.
S10
_GAS
PIPING =outlet
—
$1
r v2DUCTSYSTEMS
—
$10VE
n"UATINGFANS
—
S10
_AIR
HANDIER ES NOT include dud tas
ITYPEIHOOD
« <t0000 c M
S12
AIRHANDLER ES NOT imdude dua ms
>10.mcpm
. '
$15EVAPORATIVE
COOLERS
—
$10
ZS ETIHOOD
—
$10
c
.'HEAT PUMP/AIR CONDITIONER
O—STOM
$12
_ r
$ ' AIR CONDITIONER
6-15TOM
$20
_ r
B28 AIR CONDITIONER
16—"TONS
$?9 AIR CONDITIONER
U-50TONS
$35
_ r
B30: AIR CONDITIONER
+50TOM
.
S60
r
133:1 LPG STORAGE TANK
—
.
$10
_ r
X332` WOOD OR PELLET STO SERT
NOTE MfNI "fPER&HTFF.E=35..00
SIGNATURE:
Subtotal 9.
PLUS: PROCESSING FEE $25.01
TOTAL PERMIT' FEE DUE S