Fillable MECHANICAL PERMIT APPLICATION/FEE WORKSHEET (City of Norfolk Nebraska)

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MECHANICAL PERMIT APPLICATION/FEE WORKSHEET (City of Norfolk Nebraska)

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U.S.A. forms for City of Norfolk Nebraska

BROWSE CITY OF NORFOLK NEBRASKA (NE) FORMS

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MECHANICAL PERMIT APPLICATION/FEE WORKSHEET
REV 10-2021
Planning & Development
Building Services
309 North 5
th
Street
Norfolk, NE 68701
P402-844-2060 F402-844-2069
www.norfolkne.gov
DATE:
Firm Requesting Permit: Phone:
Firm Address:
Project Address:
Property Owner: Phone:
Commercial: Residential: Gas: Electric: Estimated Cost:
NEW INSTALLATION:
Area being conditioned: .03 x square feet= $
HEATING:
Under 140,000 BTU: Number of units x $39.25 = $
141,000 to 499,000 BTU: Number of units
x $170.00 = $
500,000 and over BTU: Number of units
x $285.00 = $
COOLING:
Residential: Number of units x $34.00 = $
Commercial: Total tons
x $11.50 = $
Industrial chillers: Number of units
x $825.00 = $
PTAC(Packaged Terminal Air Conditioner): $32.00 $
Additional PTAC: $10.00 $
Exhaust fans: (Exclude 1 & 2 family Dwellings): __________ Exhaust CFM x .07= $
Mixing/VAV boxes: $32.00 $
Infrared pipe heating system/Hanging unit heater: $39.25 per burner $
Miscellaneous/Minimum permit fee: $32.00 $
GRAND TOTAL:
$
JOB DESCRIPTION:
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MECHANICAL PERMIT APPLICATIONFEE WORKSHEET (City of Norfolk Nebraska)

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Completed 10 November 2021

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