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2003, 06-13 Permit 93000281 Fuel Burn ApplSitaane MECHANICAL PERMIT APPLICATION by d3-2- i PROJECT ADDRESS: / , ? D 7 C , 64d 1--) PERMIT, ff_- USE: Q�f {UiZNtC�CF/� OWNER: //ti1 12..0 3 .e -- IMAILiNG ���i'C-2 PHONE (0 ytime Conta$tt,: 9:'— �p��S//� ADDRESS: /-,3 7 07 `2 `% SA1((4 t-Q 6,4 e . zz (street) ( ty/state) (zip) CIS OTOR: G 04,4 N c 'LICENSE 0: (3Cwf PI-6r02S- 613 " ecfi 4 �}i' Nu gA MAILING ADDRESS: PHONE 0: - • Vic.'""7q2:7'rr6 /qLU' a. Cc.,-k-rA. c, S (o( ii-' t 4. 1g21 b street (city/state) (zip) DESCRIPTION OF WORK • OP VNITI X COOT EQUALS AMOUNT 1 FUEL BURNING APPLIANCE * DR<100,000 X $15 • / .� . ° p 2 FUEL BURNING APPLIANCE >100,000 X $1 a - 3 UNLISTED APPLIANCE ADDITIONAL FEE)-OR<400,000 X $50 * ' 4 UNLISTED APPLIANCE (ADDITIONAL, FEE) >400,000 $100 . 5 USED APPLIANCE V(�V6_ EC min. AFUE rating) *OR<400,000 $0 = 8 USED APPLIANCE(WSEC min. AFUE rating >400,000 $100 = 7 BOILER/REFRIGERATION 1-100M STU 1 515 8 BOILER/REFRIGERATION 101-500M BTU $28 9 BOILERIREFRIGERATION 501-1,000M BTU 539 ■ 10 BOILER/REFRIGERATION 1001-1,760M BTU X $57 11 BOILER/REFRIGERATION +1750M BTU 395 12 GAS LOG GAS INSERT, GAS FIREPLACE - $10 • 13 RANGE - r $14 = 14� DRYER - $10+ 15 FUEL BURNING WATER HEATER - X $10 = 18TMISCELLANEOUS FUEL BURNING APPL - x $10 = 17 OAS PIPING (ea. Outlet) - - X Si + 18 DUCT SYSTEMS . - X $10 r ■ 1S VENTILATING FANS - X $101 . 20 AIR HANDLER pciEs NOT Include ducting) kOR=10,000CFM X $12 ■ 21 AIR HANDLER (DOES NOT Include ducting) >10,000CFM _ X ;19 2222 EVAPORATIVE COOLERS - ` X $10 23 TYPE 1 HOOD _ - '��- $50 , * ' r 24 TYPE 0 HOOD - X $10 ■ 25 HEAT PUMP/AIR CONOITIONER 0-3 TON X $12 . • 28 AIR CONDITIONER 315 TON X ' $20 . , 27 AIR CONDITIONER 15-30 TON . --- x $25 a Z11t AIR CONDTIONER 30-50 TON X $35 • r 29 AIR CONDITIONER +50TON X S80 . ' 30 LPG STORAGE TANK - X $10 ' ■ 31 W000 OR PELLET STOVE/INSERT - X $10 , ■ 32 WOOD STOVE -FREE STANDING _ X $26• ❑ CASH 0 CHECK 3E �' ". SUBTOTAL. l \T ()v PLUS PROCESSING xX2EIraUM rar a orarE�vR caPrsarHrAY►;grrr OF ti u�Lok CRImFC CIAD 1 FEE $35.00 . I DATE: • EX TOTAL PERMIT FEE DUE ' ©a �. BANCCARE �fUM3EA AUTHOR2EA SIGNATURE: C2-13-c3