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1991, 05-08 Permit App: 91002433 Furnace, Piping IYIcb 114111t•ML rcnl7Us I-trrubMsaus rutin& "E Information Worksheet JOS` STREET ADDRESS: 2 2- t‘./- ti 1` ° 0/-V/e. I , CITY/STATS/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESSi (Street) (City/State) (Zip) CONTRACTOR: S" 6" 04/- fr1-& `LICENSE NUMBER: rihq-P- t H--/I- LL(2) 612--- PHONE s-- LLQt3Z-- PHONE NUMBER: of 2Z_ -- -L9 MAILING AD6RiS8: G ( ( - " (Street) (Cit tate) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION OFFUUNNITS EAC = AMOUNT DUCTWORK SYSTEM x$10.00 = WOODSTOVE/INSERT x 25.00 = GAS WATER HEATER $ x 10.00 = . HEATING EQUIPMENT <100,000 BTU -V_ x 12.00 = Ly=e HEATING EQUIPMENT +100,000 BTU x 15.00 = GAS PIPING (1 - 4 OUTLETS) x 4.00 GAS PIING (5 OR MORE. EACH: ) ( x 1.00 = REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12.00 = REFRIG 101-500M BTU x 20. 00 = REFRIG 501-1,000M BTU x 25.00 = REFRIG 1,001-1,750M BTU x 35.00 = REFRIG +1,750M BTU x 60.00 = HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 12.00 = HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20.00 = HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25.00 = HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35.00 = HEAT PUMP & AIR CONDITIONER +50 TONS _ _ x 60.00 = VENTILATING FANS x 10.00 = EVAPORATIVE COOLERS x 10.00 = _ TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) _ x 50. 00 = TYPE II HOOD x 10.00 = CLOTHES DRYER x 10.00 = RANGE x 10.00 = GAS LOG x 10.00 = MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10.00 = UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ x 50.00 = UNLISTED GAS APPLIANCE >400,000 BTU_ _ _ x100.00 = USED APPLIANCE <400,000 BTU x 50.00 = k. USED APPLIANCE >400,000 BTU x100.00 = AIR HANDLER <10,000 CFM x 12.00 = AIR HANDLER >10,000 CFM x 15.00 = ^a te PROCFv4f I JG FEE "+ "$. 25. " ,x god: ` 7T'A " PERMIT �I • i• 'P PEE IS $35.00 k ' ' '4'4441111415h DUlt $" ' � 2 ex, t °4,;d" .Ix,. n:' s�r ._ i. v s E,ti ,a i4144 ui