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1987, 08-18 Permit App: 87002672 Wood Stove• *******************************$t****$****4************44**4444**************zc INFORMATION WCRKSHEET ******************c*************************************4*4*****444***4****t** * * * * * * * * * * * * * * * * * MAILING ADDRESS( PARCEL 2 G^�E//N/E__R�AjL INFGRMATICN STREET ACCRESS: R/ CITY/ST ATE/Z IPC SUBDIVISION: BLUCK:__ LOT: CISIFICTi:_______ LOT AREA: F/A: WIDTH:DEPTH: R/M: CF BLCGS: UwNER :_`c,L����-' * CITY/STATE/ZI * * * * * * A CF DWELLINGS: 4 * * 4 * * 4 4 4 * * * FFCNE*I5 -._)�:_ * CONTACT: FHCNE: - - * * 4 * SETBACKS - FRCNT LEFT RIGHT REAR 4 PERMIT LSE: � ODOP�U __---- 4 ***********************4****************************************************** * * PLUMBING INFCRMATION 'CONTR LIC4: * * * * * CONTRACTCR: PHCNE: * * MAILING ACCFESS: * * ****************************************************************************** * MECHANICAL INFORMATION * * CONTR * * * CONTRACTOR: FHCNE: - - * * * * MAIL INC ADDRESS: * * ELECTRIC:_- GAS:_ CIL:___ CCAL:_WOOD:SCLAR:___ FEAT FUMF:_- * * * ***************************************************************************** MECHANICAL FEES PLUMBING FEeS 11EM DESCRIPTIGN PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/INSERT GAS WATER HEATER GAS HTG EQUIP<100,000>BTU GAS hTG EQUIP+100,000' BTU GAS PIPING - # OF UNITS HEATPUMP 1-100M BTU HEATPUMP 101-500M BTU HEATPUMP 501-1,000M BTU HEATPUMP 1,001-1750M BTU HEATPUMP +1,750M BTU REFRIG 1-100M BTU REFRIG 101-SOOM BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REI -RIG +1,750M BTU AIR CONDITIONER 0-3 HP AIR CONOITICNER 3-15 hP AIR CGNDITICNER 15-3C HP ' AIR CCNGITICNER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS H00DS CLOTFES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANDLER 10000+ CFM NLMBER CF YES OR NG ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATh TUBS KITCHEN SINKS DISH WASHERS GARBAGE DISPCSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOCK SINKS BAR SINKS ROOF CRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URNAL DRINKING FOUNTIAN NUMBER OF YES OR NC