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<br />'Cl:TY, 01" ZEPHYRHl:LLS <br /> <br />Permit Application <br />HEATING, VENTILATING, <br />Alc, REFRIGERATION SYSTEMS <br /> <br />Job Addreu 2'1 '03 -(' ~~"J{.,IJfj <br /> <br />Date <br /> <br /> <br />Certificate <br />Contractor <br />Owner's <br /> <br />Air Conditioning Ventilation-Ductwork H..Ung <br />Refrigeration Repairs--Alterations Boiler <br />Other CONTRACT PRICE OF INSTALLATION $ <br /> , <br />MINUIUM PERMIT FEE . . . . . . . . . . . . . $ ~1.5 . 00 FEE <br />Fee for Heating, Ventilating, Duc t , AirConditioning and Refrigeration <br />Systems shall be Ten ($10.00) Dollars for the'first one thousand dollars <br />($1,000) of total valuation of installation PLUS two ($2.00) per each <br />additional one thousand ($1.000) d~llars or fraction thereof $10.00 <br />Repairs, alt€rations and additions ,to an existing system over $500 .00 <br />shal~be$2.00 per each $1,000 or fraction thereof in valuation plus <br />five ($5,00) dollars. 5.00 <br /> -, <br />Temporary Operation Inspection Fee: Fo~ inspecting a Heating, <br />Ventilation Refri~eration or Air Conditionin2 System. 5.00 <br />In all buildings except one and,two family dwellings using self- <br />contained A/c units less than two tons, the fee charged shall be <br />based on the valuation of total ,tonnage of all units combined, Minimum <br />fee shall be $10.00 10.00 <br />Boilers based on BTU Input: <br />33,000 BTU(l BHP) to 165,000 (5 BHP) . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 <br />165,001 BTU (5 BHP) to 330,000 ( 10 BHP)................................. 10.00 <br />330,001 BTU (10 BHP) to 1,165,000 (52 BHP).............................. 15.00 <br />1,165,001 BTU (52 BHP) to 3,300,000 BTU: (98 BHP)....................,.. 25.00 <br />Over 3.300 t 000 B TU . . . . . . . . . . . . . . . . ~ ~ . . ~ . ~ ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.00 <br />Re-Inspection Fee, each trip 10.00 <br />For rrobile hane mechanical 15.00 <br /> - <br /> TOTAL FEE <br /> <br />Check one: <br /> <br />Re-Inspections: When extra inspection trips are necessary due to anyone of the following <br />reasons, a charge of ten ($10.00) dollars shall be made for each trip. <br /> <br />(a) <br />(b) <br />(c) <br />(d) Work not ready for inspection when <br />payment of reinspection fees shall be made <br />person owing same. <br /> <br /> <br />SIGNATURE OF APPLiCAN <br /> <br />The <br />the <br /> <br />\ <br />