1993, 03-24 Permit App: 93001778 Mechanical Fixtures471"--5 rttt:nA rum
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JOB STREET ADDRESS:
CITY/STATS/ZIP:_ �n - FARCEL :
OWNER: Q_A;i0tAL.„
MAILING ADDRESS:
(Street)
_442,
3� 1.
// (1,9
PROM MUM8ER: 424 -- (y o t4____
(City/State) (Zip)
CONTRACTOR: f3 4 --ao►as L Cr t- M t_z LICENSE NUMBER: R sew.gp " Ito t Z.._
PHONE NUMBER: ALA-- Seo c.J
MAILING ADDRESS : _ Gil 1\13u... A...1 s jp( 4 Al3� --. t • 4Ct 10
(Street) (Ci y/State) (Zip)
111111111111111111.11.1111.1.11.111111111
MECHANICAL WJRJSHEET/FEE SC IEDULE
NUMBER 1 X EACH
OF UNITS UNIT
DESCRIPTION
=AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIPING (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 +1,750M BTU
0-3 TONS
3-15 TONS _
15-30 TONS _
30-50 TONS _
+50 TONS
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD1
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOC
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU
UNLISTED GAS APPLIANCE >400,000 BTO
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
MOT!: SYNIILV3( PERK'? PES $u.00
SIGMATURZ
SUBTOTAL
x$10.00
25.00
10.00
12.00
15.00
4.00
1.00
12.00
20.00
25.00
35.00
60.00
12.00
20.00
25.00
35.00-
60.00
10.00
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
nova
PLUS: PROCESSING FEE
+ $ 25.00
SOULS: TOTAL PERMIT
FEE DUE
1
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