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1993, 03-24 Permit App: 93001782 Mechanical Fixtures i 9::_ l 4---1t:nuunwLL ream Arrusimeas rum , '-'2. r . Inforastias Worr•t ,c6yL9tio L-3 JOB STREET S: ci. -1 ( S CITY/STATE/ZIP: PARCEL NUMBER: 14 Sat , Of n OWNER: \....\_0_,..v � PHOSs NUMBER: Gr z `( MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: Q Apt-41e.4s L C< 4r. Ar`r•.-4 LICENSE NUMBER: R 0444-14 j -At I t o t Z.- PHONE NUMBER: qZt. S>0 v MAILING ADDRESS: g 1\9 U.. NneN, son.)s t eit4 sl.3 'tai.\ ^t'd^^ 44 2.04 (Street) (Ci y/State) (Zip) MECHANICAL WORKSHEET/FSE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS UNIT = AMOUNT DUCTWORK SYSTEM x$10.00 = WOOOSTOVE/INSERT x 25.00 = GAS WATER HEATER x 10.00 = L0 HEATING EQUIPMENT <100,000 BTU x 12.00 = ‘.-Z 'At- HEATING EQUIPMENT +100,000 BTU x 15.00 = GAS PIPING (1 - 4 OUTLETS) x 4.00 = GAS PIING (5 OR MORE. EACH: ) -7.._ x 1.0C = 2 v-p 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 50. 00 = TYPE II HOOD x 10.00 = CLOTHES DRYER x 10.00 = x 10.00 = RANGE x 10.00 = GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE)._ _ x 10.00 == UNLISTED GAS APPLIANCE <400,000 BTU _ _ x x1 50.000.00 = UNLISTED GAS APPLIANCE >400,000 BTU _ _ 50.00 = USED APPLIANCE <400,000 BTU x x1 0.00 = USED APPLIANCE >400,000 BTU = AIR HANDLER <10,000 CFM Y 12.00x 1 .00 = AIR HANDLER >10,000 CFM x- SUBTOTAL $ 2((., PLUS: PROCESSING FEE + S 25.00 EQUALS: TOTAL FEE DOB�T = $ �`Z �- NOTE: PExxz $25.001 SIGNATURE • P . al....1..•r.r• P.....40 PI►04,404.vomill 111 INPINalio. it 04