Loading...
1992, 11-20 Permit App: 92010250 Mechanical Fixtures MECHANICAL PERMIT APPLICATION FORM .---- q -1 Information Worksheet JOB STREET ADDRESS: - /35 O I fq;c.k) CITY/STATE/ZIP:,Spo C\e i (A)A 79.2ICD PARCEL NUMBER: l'T 6 A • • OWNER: i- I o d /U.Q., .. •2..( PHONE NUMBER: 7.: 7 a(43 MAILING ADDRESS: t • /35O/ (Street) • - (City/State) (Zip) CONTRACTOR:L)\-Elms+S V4-e Gt', yAc LICENSE NUMBER: �Yl�-r7' i4-C.,1U I C.,14 , , U PHONE NUMBER: -._._.. MAILING ADDRESS: 1'•C) 1 X ) 1y<)a 5636Voote,;CO A cl`i3. t (Street) (City/State) _ (Zip) , MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH • DESCRIPTION OF UNITS UNIT =AMOUNT ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 = c ......:.05i �.::.o::::$._nt x 25.00 = GAS WATER HEATER / x 10.00 = ( O. 00 •GAS:EQUIPMENT<150 0OO 'U (INCLUDES s > < x 12.00 = . . .. ... . .. GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 = GAS:PIPIN.G EA UTI_E- :,.::.:..:::::...::........:. ... . . ... ...:::(:::.;.; �•.;...,:... :<:«>�»�:,<::•:::::.....�:,.:::............' x 1.00 = :..:::. ..::. ...:... . ....:;:�;:.;.;>:<><<>>��:> : : :;:;;;;;::. : ;; :::,.::.: .>..;;. o� A. on BOILER/REFRIG 1-100M BTU x 12.00 = f �ILEF1/I��PF�IG:1 U� 5.0UM"S't`U' ....... i>::>::><><< ::>:::<>:»>:>ii:u»> x 20.00 0. 0 = BOILER/REFRIG 501-1,000M BTU x 25.00 = ' () LEFa F'tai .... .:.........:..:: .,:..:.�', :�. :<-.+ ; ;:.;:;;;:;;��:>>:;: >::. :;; �:;;;;>� :»: x 35.00 BOILER/REFRIG +1,750M BTU x 60.00 = HEAT PUMP & AIA CONDI'CIONR 0.3 TONS ... x 12.00 _ HEAT PUMP &AIR CONDITIONER 3-15 TONS x 20.00 = • HEAT PUMP k Alfa CONDITIONER 15 30 TONS x 25.00 = HEAT PUMP &AIR CONDITIONER 30-50 TONS, x 35.00 = • HEAT PUMP &AIR Ct Npi1`IONE1 :. 0'I ONS ......... < `: , x 60.00 = • VENTILATING FANS x 10.00 = EVA:: PQRATIVE`C0000 . x 10.00 = . TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 = :............::............:...:.:..:.,....:::::::,....... TY:PE.II H OD ... > < > ilii ii>iiMI;;€ :<€; EE ::.::.::::::..: x10.00 • CLOTHESDRYER';:.;;:.;..................................................................................... x 10.00 = 1. ...N:O. x10.00 GAS LOG x 10.00 = • MISCELLANEt US (NPT COVERED LSEIN:N I P x 10.00 = • ;