HomeMy WebLinkAbout0094718-HVAC
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DATE 5"d l/ .O:J
ONNER
Iq~s ~/CKO~ UHJL
01 i l< (. lJv [I G tJZ..
CONj'RJ~CTOR._____~.....tS-_ _~LaT JN6~ C_L
00
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<JOB ADDRESS
CIRCLE ATL l~PPLIC]o'LE
U;~E C1>.TEGORY ~T:V'T~~
DUFLEX
]\~ULT'I }7']iJ'.~~L'Y
COJ~~jjlER CIp..L
Il~DUS'TR I]~L
SYSTEH
~ OIL
~
ELECTRIC
SOLp_J:{
SOl.,ID
FUEL
REPLp.CE
OTHER
TYPE "
",..,
~ORC'~
_ v,-, r___,
STEpJII]
~
VENT
ELECTRIC
HOT l'iATER
SUP?L.
CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's be.i:ng vented.
I
j"lP.NUFp.CTURER
CHIMNEY TYPE
CHIMNEY A
CHH1NEY B
0---==::;>:-
DIRECT ~
OTHER
HEAT LOSS
AS APPROVED
EXISTING
NOT p.PPLICl'.BLE
BTU RATE
1'.8 PER ?LFJ\j
V1'..Rl1'.BLE
OTi~ER \7p-LtT~:
NATlJKE OF WORK:
VALUE (Including labor and materials) $ &],,(b0C)
,
ELECTRICAL CONTRACTOR
Electrical installation of ne\,'jreplaceinent equipment shall be done by licensed
contractors.
Valuation
Fees
$ 0 to $1, 000 . 0 0.......................................................................................................................................$20 . 00
$1, 000. 01 to $10, 000 . 0 0.......................................................................__......................................$20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10, 000 . 01 to $25, 0 DO .0 Dm..;..........................................:.T'......;.:.....y........................:",,:r....~...$155 . 0 0 for first
J_ $1&;600.00 plus $1:06 per $100.00 valuation or part thereof
Over $25', '0'0 0 . 0 0..............................................................................................,_......................................$3 .00 plus $ 0 .50
})ef $lbO . 00' valua~~op?J:' part thereof
· Submit payment with application. Failure to pay within 30 days "vill result in
fees being doubled or $100.00 plus the normal pe:t'l11it fee, which ever is
greater.
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