Fillable Form 178: CITY OF WHITEWATER Permit No. NEIGHBORHOOD (City of Whitewater)

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Form 178: CITY OF WHITEWATER Permit No. NEIGHBORHOOD (City of Whitewater)

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BROWSE CITY OF WHITEWATER (WI) FORMS

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CITY OF WHITEWATER
312 W. Whitewater
Street
P.O. Box
178
Whitewater, WI
5319
0
(262) 473-0540
www.whitewater-wi.gov
NEIGHBORHOOD SERVICES
H V A C Permit Application
Project Address
Permit No.
Address Phone No.
Address Phone No.
Estimated Cost
S C H E D U L E O F P E R M I T F E E S
NEW ONE/TWO FAMILY REPLACEMENT & MODIFICATIONS OF HVAC
RESIDENTIAL
Base fee $30 plus:
EQUIPMENT & MISCELLANEOUS
Gas, oil, electric & coal furnace & boiler
Ea. Qty. Fee
Ea. Qty. Fee
Per sq. ft. .03
except
unheated garages
Subtotal
One & two family
$15.00
commercial
25.00
Over 150,000 btu - per 50,000 btu
3.00
Air Conditioning
One & two family
15.00
commercial
25.00
Over 36,000 btu – per 12,000 btu
2.00
Fireplace and wood burning stove
15.00
Electric
baseboard, wall unit
& cabinet unit –
per kw
1.25
Duct
work
alteration
20.00
Other
25.00
TOTAL
DUE
Base
Fee
+$30.00
GRAND
TOTAL
Re-inspection fee 30.00
Special inspection fee 75.00
IF WORK IS STARTED BEFORE PERMIT IS ISSUED, FEES ARE DOUBLE.
Signature of Applicant Date License No.
Approved by: City of Whitewater Date
Revised 2/13
Owners Name
Contractor’s Name
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Form 178: CITY OF WHITEWATER Permit No. NEIGHBORHOOD (City of Whitewater)

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Completed 17 July 2020

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