1993, 04-26 Permit App: 93002919 Mechanical Fixtures *AITI'AWLS ruii
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JOB STREET'*FADDRESS: (3 404-i. LI) 1 c le._
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: 91-C-6-1Ct- P-4.. mon NUMBER: 9 2 56 - `3 S� .
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: 6 A-t-coat MC., *- Ail.`'-.LICENSE NUMBER: R -+4‘.-'eo t{.", t t c Z; Z__
PRONE NUMBER: q1t- S'e c c,
MAILING ADDRESS: e 1\9lL fin•. on.)t ç4 3 Caj. ,--. t\A� V4 44 2046
(Street) (Citty/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM x$10.00 =
WOODSTOVE/INSERT x 25.00 =
GAS WATER HEATER l x 10.00 = I c"
HEATING EQUIPMENT <100,000 BTU , x 12.00 = 11r-��
HEATING EQUIPMENT +100,000 BTU x 15.00 =
GAS PIPING (1 - 4 OUTLETS) x 4.00 =
GAS PIPING (5 OR MORE. EACH:) '2- x 1.00 = 'Z9'-0
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 HOOD1 - x 10.00 =
TYPE II HOOD x 10.00 =
CLOTHES DRYER
RANGE x 10.00 =
GAS LAG 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 =
USED APPLIANCE >400,000 BTU x100.00 =
AIR HANDLER <10,000 CFM x 12.00 =
AIR HANDLER >10,000 CFM x 15.00 =
?-
SUBTOTAL $ IA c''''
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT LK
mars: .• -• . _ a T PEE $33.00
FEE DOE _ $ O0
SIGNATURE i- 1' ., av 4