2003, 07-17 Permit App: BLD-03-02046 Mechanical Fixtures'ROJECT
1DDRESS:
J•
�7 MECHANICAL PERMIT APPLICATION
l i, i t 4(77 4 1PERMIT'" 1
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USE. �O QTLflnc4 I,TiC-
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1AIUNG ADDRESS:
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PHONE a}[tme Contact): 92 ! ^ r� Z z-
C
:ONTRACTOR:
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(n � C l F Y7(11- KgO <lA wig-- /�iZlJl�
(street)
) (city/state) (zip).
3 y
IAILINGV
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ADDRESS:(1
LICENSEfk
"04.v�t;1413
— GINEQA-senna
/ry
pf-taE.. Cc--t,Lt& sPo((a.
PHONE#: KR
R:
' q.—`tJ7-77`t i
WA". .41g2.16
(street) (city/state)
(Zip)
DESCRIPTION OF WORK
x or UNITS
X
COST
EQUALS
AMOUNT_.
1 FUEL BURNING APPLIANCE
2
•OR<100,000
X
$15
3
FUEL BURNING APPLIANCE
>100,000
X
$19
UNLISTED APPLIANCE (ADDITIONAL FEE)__-'OR40Q000—
"-
..T-
$50-,
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
•400,000
X
5100
=
5
6
USED APPLIANCE(WSEGm4LAELLEratIng)
USED APPLIANCE(WSECmin.AFUE
-4)R<400,000
X
$50
rating)
>400,000
X
$100
7
BOILERIREFRIGERATION
1-100M BTU
X
$15
$
BOILER/REFRIGERATION--
t0130010113111
'
- X
$28
•
9
10
BOILER/REFRIGERATION
501-1,000M BTU
X
$39
=
BOILEFUREFRIGERATION-'
1001-1,750M RTU,
X
$57
11
BOILER/REFRIGERATION
+1750M BTU
X
$95
12
GAS LOG.GAS INSERT, GAS FIREPLACE
RANGE
-.,
-'
.. X_-
" -$10.
13
_
X
$10
=
14
DRYER
X
$10
15
FUEL BURNINGWATER HEATER
X
$10
=
16MISCELLANEOUS
FUEL BURNING APPL
_
X
$$1
=
177GASPI
PISTEMS.a,llay-- -
-
-
-x
a1
e
18
DUCT SYSTEMS
-
x
$10
=
19
VENTILATING FANS —
-
X'
510
-_
20
AIR HANDLER (DOES NOT include dueling)
0,0CFM
X
Sit
•
21
AIR HANDLER (DOES NOT Include ducting)
-COOLERS
>1O,
>10,000CFM
X
579
_
2Z
EVAPORATIVE
-
X
$10
23
TYPE 1 HOOD
X
$50
`
24
TYPE II HOOD
_
X
$10
`
25
HEAT PUMP/AIR CONDITIONER
03TON
$$200
`
% %,
26
AIR_CONDMONER—
315TON
X
=
c7 Cr
27
AIR CONDITIONER
15-30 TON
X
$25
<
2$
AIR CONDITIONER
30-50 TON
X
$35
_
29
AIR CONDITIONER
+50TON
X
$80
=
30
LPG STORAGE TANK
-
X
$10
=
31
WOOD ORPELTETSTOVEANSERT
-
X
$10
32
W000 STOVE - FREE STANDING
-
X
525
0
DATE
CASH ❑ CHECK ❑ imiiiiiiiii
;AZEOPeoors WIIt
OP A
0
ONLY BEACCEPTED
MAJOR CREDIT
EXPIRF-S:
'MI
LARD
PA1 Nr
L,
SUBTOTAL
/2. o0
PLUS PROCESSING
FEE
$35.00
TOTAL PERMIT FEE
DUE
//� l76
77
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: