Loading...
1993, 03-24 Permit App: 93001781 Mechanical FixturessammummiL regms Amt. ` Inroreatian Worksheet JOB STREET ADDRESS: .0 a/ 0 C CITY/STATE/SIP: OWNER:LC)4..-r MAILING ADDRESS: (Street) CONTRACTOR: Q, A e �►,s k�}G t M._�-s6. LICENSE NUMBER: R ip era Ito Q Z_ PHONE NUMBER: <it1 - Srt o c Lep PARCEL NUMBER:S PHONE NUMBER: ' ' C / (City/State) (Zip) MAILING ADDRESS: 1\ a lL w,s s s t ei c ' 3 'e �-�--� \k^^iia+ 44zest. (Street) (Ci y/State) (Zip) Ori"'G MECHANICAL WORKSHEET/PEE ScnDULE' NUMBER X EACH DESCRIPTION OF UNITS UNIT g AMOUNT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (1 - 4 OUTLETS) GAS PINING (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 +1,7501: BTU AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER FANS HEAT PUMP i HEAT PUMP & .HEAT PUMP & HEAT PUMP & HEAT PUMP & . VENTILATING 0-3 TONS 3-15 TONS 15-30.TOWS 30-50 TONS _ +50 TONS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD" TYPE II HOOD CLOTHES DRYER RANGE GAS LOG - MISCELLANEOUS (NOT COVERED ELSEWBERRE) UNLISTED GAS APPLIANCE <400,000 BTU UNLISTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM. l 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 = n MOTS: SIGNATURE •-m4-srs SUBTOTAL PWS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE estaoste mot Re PUTRIStsor IMO um,