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2003, 11-24 Permit App: BLD-03-03145 Furnaces
f o 4000 ValleY MECHANICAL PERMIT APPLICATION rPROJECT t/ r- / ��, PERMIT ADDRESS: % i d Li - C Cc ( - USE: / /ef.J((,,1,4 i. Ci✓c " F/(?e act 1r7Je/?�• OWNER: (, A !Alai_ L1 PHONE(Daytime Cofitect- 2 - 0 v0 MAILING AD17 S : / 1/ 6 r- if + fir, , • / (street) (city/state) •(zip) CONTRACTOR: LICENSE#: Z 'i- C. 41 a"Ct Pt(C 11C-14-E iti*O4°2- 613 ' . GCHEA 6";st_DOU!TA. MAILING ADDRESS: PHONE#: fC4(1_ . Cc,t . C, SP0Kms. le 4- . "g216 (street) (city/state) (zip) DESCRIPTION OF WORK #•r 1111ffS X COST' EQUALS AMOUNT 1 FUEL BURNING APPLIANCE =OR<100,000 X $15 a NE FUEL BURNING APPLIANCE >100,000 $19 = ©UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 $50 a Ma UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 .rEs $100 = F (W USED APPLIANCESEC min.AFUE rating) =OR<400,000 � $50 USED APPLIANCE(WSEC min.AFUE rating) >400,000 $100 BOILER/REFRIGERATION 1-100M BTU $15 MI BOILER/REFRIGERATION 101-500M BTUIIIII $28 BOILER/REFRIGERATION 501-1,000M BTU $39 10 BOILER/REFRIGERATION 1001-1,750M ETU .....m3umem ®BOILER/REFRIGERATION +1750M BTU 1111011111111113 _ ®GAS LOG GAS INSERT,GAS FIREPLACE _,SQ $10 1111111311111111MELEI ®RANGE E3 DRYER 111111111111111111111111.111111.3 $10 1113 FUEL BURNING WATER HEATER - X $10 � � MISCELLANEOUS FUEL BURNING APPL Q $10 - 13 GAS PIPING(ea.Outlet) - El < $10$11 ()(iDUCT SYSTEMS ISVENTILATING FANS - $10 MM. AIR HANDLER(DOES NOT Include ductin r DOR<10,000CFM 111 $12 AIR HANDLER(DOES NOT Include ducting) >10,000CFM $19 EVAPORATIVE COOLERS - III $10 TYPE I HOOD - $50 E3 TYPE II HOOD - © $10 a ®HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 = FeAIR CONDITIONER 3-15 TON X $20 = AIR CONDITIONER 15-30 TON X $25 = E3 AIR CONDITIONER 30-50 TON X $35 = E3 AIR CONDITIONER +50TON Q sea = 30 LPG STORAGE TANK - X $10 um 31 WOOD OR PELLET STOVE/1NSERT - X $10 32 WOOD STOVE-FREE STANDING - x $25 SUBTOTAL (� `l .r,f - ,..1 r /v V 0 CASH 0 CHECK 0 ❑a PLUS FAXED PEEWITS R^.LT,ONLY BEACCEP'TEDNSTHPAiawr ,PROCESSING $3500 OP A MAJOR CREDrr CARD FEE TOTAL PERMIT FEE /(^ DATE: EXPIRES: DUE �W �� SANKCAP.D NUMBER: ,� 4 AUTHORIZED SIGNATI.TRE: