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<br />Cl:TY, OF ZEPH":{RHILLS <br /> <br />Perm~t Appl~cat~on <br />HEATING, VENTILATING, <br />A/C, REFRIGERATION SYSTEMS <br /> <br />30b Addr~..~e t' 0 i ~~t ~ <br />,~~?o+~ <br /> <br />~:::::::::. Nltt ~ . <br /> <br />Owner'. Name <br /> <br />Date <br /> <br />Air Conditioning Ventilation-Ductwork Heating <br />Refrigeration Repairs--Alterations Boiler <br />Other CONTRACT PRICE OF INSTALLATION $ <br /> , <br />MINI}IDM PERMIT FEE . . . . . . . . . . . . . $ :1-5 -. 00 FEE <br />Fee for Heating, Ventilating, Duet, 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) dibllars or fraction thereof $10.00 <br />Repairs, alt-erations aOnd addi dons to an existing system over $500 .00 <br />shall"be $2.00 per each $1,000 or fraction thereof in valuation plus <br />five ($5.00) dollars. 5.00 <br />Temporary Operation Inspection Fee: For inspecting a Heating, <br />Ventilation Refri~eration or Air Conditionin2 Svstem. 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 comb i ned . Minimum <br />fee shall be $10.00 10.00 <br />Boilers based on BTU Input: <br />33,000 BTU(1 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 ( 5 2 B HP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15.00 <br />1,165,001 BTU (52 BHP) to 3,300,000 BTV (98 BHP)....................... 25.00 <br />Over 3.300.000 BTU................ ~ ~ . . ~ .0 ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.00 <br />Re-Inspection Fee, each trip 10.00 <br />For m:>bile hare mechanical 15.00 <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) Wrong address. <br />(b) Condemned work resulting from faulty construction. <br />(c) Repairs or corrections not made when inspection, called for. <br />(d) Work not ready for inspection when called. <br />payment of reinspection fees shall be made before any'further permits will be issued to <br />person owing .same. <br /> <br />The <br />the <br /> <br />,SIGNATURE OF APPLiCANT <br /> <br />'~ <br />