1994, 08-08 Permit App: 94007521 Gas Log, PipingMECHANICAL PERMIT APPLICATION
q
75z�
PROJECT ADDRESS:
OWNER:
MAILING ADDRESS:
PIIONEr‘20"`17
(street)
CONTRACTOR: FE./ CSN
MAILING ADDRESS: E
(city/state) (zip)
LICENSE: I'"/3i�i�
PHONE: Q a to - gq I
oK/1A1E A °V 010
(city/state) (zi
SIGNATURE:
/
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_
OF MITTS
wen-
,.,. ,
sl.
JUNIT
. AMOUNT
r . y: 11V a . OF WORK
FUEL BURNING APPLIANCE
- or <100,000
$12
.
i `
FUEL BURNING APPLIANCE
>10o0oo
.
$IS
.
t
3%rt .
UNLISTED FUEL BURNING APPLIANCE
- sic <400000
.
$50
.
t
j..
UNLISTED FUEL BURNING APPLIANCE _
>4000oo
$100
.
t
BQ ;
USED APPLIANCE (Must meet WSECs min. AFUE rating)
- oc <400.900
.
$50
-
t
30: {
USED APPLIANCE (Must meet WSECs min. AFUE rating)
BOILER/REFRIGERATION
•>400.0oo
t -100M BTU
$100
*12
.
.
t
i3
la
BOILER/REFRIGERATION
Loi-SOOM sru
.
*20
s
BOILER/REFRIGERATION
S01 -1,000M BTU
.
$25
.
;
BOILER/REFRIGERATION
1,001-1.750M BCU
$35
.
r.
4 :�\XY
8) 2p
BOILER/REFRIGERATION
+1,7SOM B U
.
$60
.
c
GAS LOG, GAS INSERT. AND/OR GAS FIREPLACE
RANGE .
-
-
1
.
*10
*10
.
-
s 410._-::::-
0-.
.. +
:
:ip:.i
it >
DRYER
-
$10
.
c •.<
FUEL BURNING WATER HEATER
-
$10
-
' '.
MISCELLANEOUS FUEL BURNING APPLIANCE
-
*10
.
Ii 5
GAS PIPING (ea. outlet)
-
E
*1
-
c 1 ---
�.! ,
DUCT SYSTEMS
-
.
$10
-
:• a
VENTILATING FANS
-
*10
-
c
;.,-;4T.
AIR HANDLER (DOES NOT include dud systems)
- or <10 .000 CPU
a
512
-
IA
AIR HANDLE1 DOES NOF Indude duct systems)
>10.000 CI M
$15
-
Lt
EVAPORATIVE COOLERS
-
.
*10
.
' E I HOOD
-
$50
.
' E IT HOOD
-
*10
.
.v °
HEAT PUMP/AIR CONDITIONER
0-STONS
$ly
.
AIR CONDITIONER
c -IS TONS
$20
.
} ; ,
AIR C ONDTTIONER
is -so TONS
.$25
-
AIR CONDITIONER
3I-SOTONS
*35
.
$
AIR CONDITIONER
+SOTONS
$b0
.
LPG STORAGE TANK
-
*10
_
�2
WOOD OR PEL[.EF STOVE/1NSERT
-
_
*25
_
NOTE' MIN MUMPERMTT FEE I . 5.00
Subtotal
1/ -
PLUS: PROCESSING FEB
$25.011
TOTAL PERMIT FEE DUE
$ „` ,—
SIGNATURE:
/
cony/ w Ian /self TT.rV' r INT[rrt'.n.r nn ..r..r .�...�...