Laserfiche WebLink
l.l l Y Vt' VKVIVV HYYLlI,L-�11V1V t'VK N1bl.t1A1V1l;AL Y�KMl l Yage 2 0,�3 � <br /> . �. <br /> COOLING SYSTEMS � <br /> Quanfity: <br /> Make: `� <br /> Model: .� ��? � ���� <br /> Tons: � <br /> H.Power <br /> FIREPLACES <br /> as factory fireplace <br /> W urning factory fireplace with flue <br /> Wood Sto <br /> Wood stove with ue - <br /> Brand Narne Model No. <br /> VENTILATION <br /> ,� No. Kitclien Exliaust duct recalculating cfin <br /> �'�o: —�a�k-� ust(must have duct outside) ��n , <br /> No. Other Fans: Loca i �� <br /> FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) <br /> `�._ <br /> Installation o Removal <br /> Fuel oil: gallons undergro ' ide outside <br /> LP Gas: gallons <br /> Other Gas opening <br /> PERNIIT FEE CALCULATION(S) <br /> 2002 State Statute Yes This Section 1�SppGes <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less;excluding the cost of the fixture or app(iance: <br /> and <br /> 3) Is improved, insta.11ed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge$ .50 <br /> Mail-In Fee $ 1.50 <br /> I�aTove�oes notapply, o low gui e ines e ow: <br /> 1. Coatract Price* is.O l25%of joU with a Minimum Fee of($35.00) r� <br /> --------- �, �'�—� �" <br /> ��� � � x.O125 $ � <br /> ` _ � --.__ __ .- ----- - <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. '�* Add the State Building Code Divisia�,a Minimum Fec of(�.50) )� <br /> _- --- <br /> t�.---_...__-�---- --- <br /> 1 ' � -� �� x.0005 �� �� <br />