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<br />.C:tTY. OF ZEPHYRH:tLLS <br /> <br />Permit Application <br />HEAT:tNG. VENT:tLAT:tNG. <br />A/C. REFlUGERAT:tON SYSTEMS <br /> <br />'Vr ~Pf <br /> <br />Certificate Number <br />Contractor <br />Owner'. Name <br />Date <br /> <br />Job Address <br /> <br />Check one: <br /> <br />Air Conditioning Ventilation-Ductwork Heating <br />Refrigeration Repairs--Alterations Boiler <br />Other CONTRACT PRICE OF INSTALLATION $ <br />MINUruM PERMIT FEE .............$':20.00 FEE <br />Fee for Heating. Ventilating, Duct, 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) d011ars or fraction thereof $10.00 <br />Repairs, a1t~rations and additions 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 Refri2eration or Air Conditionin~ System. 5.00 <br />In all buildings except one and, two 'family dwellings using se1f- <br />contained AIC units less than two tons. the fee charged shall be <br />based on the valuation of tota1.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) . . . . . .0 . . .. . . . .'. . . . . . . . . . . . . . . . . . . . . . 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 BTV (98 BHP)....................... 25.00 <br />Over 3.300.000 B TU . . . . . . . . . . . . . . . . ~ ~ . . ~ . ~ ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.00 <br />Re-Inspection Fee, each trip 10.00 <br />For nobile hare mechanical 15.00 <br /> - <br /> TOTAL FEE <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 <br />person owing same. .AI' ! /t" P' <br />SIGNATURE OF APPLiCANT /L---. -p/ p ~ <br />~ <br /> <br />issued to <br /> <br />The <br />the <br />