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1988, 08-22 Permit App: 88002461 FurnacePARCEL NUMBER: INFORMATION WORKSHEET (ey5--41_ Hoc STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: BLOCK: / LOT AREA: F/A: ZONE: WIDTH: # OF BUILDINGS: # OF DWELLINGS: OWNER: ,vv‘ DISTRICT: DEPTH: WATER DISTRICT: PHONE: MAILING ADDRESS:7 0-71,7%.1 -44L CITY/STAlL/ZIP: ?C) LAJ CONTACT: - PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: CONTRACTOR LICENSE NUMBER: CON1RACTOR: MAILING ADDRESS: BUILDING INFORMATION PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: ADDLCION: CHANGE OF U DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: CONTRACTOR LIC#: CONTRACTOR: WANOPHO-INFORMATION 240C) / MAILING ADDRESS: ?4-0 57( /— ///472.17—cfe)-7L-e71-1 / S ? 9C6 ........................................................................... CONTRACTOR LIC fl: CONTRACTOR: MECHANICAL INFORMATION MAILING ADDRESS: ELECTRIC: OIL: CCAL: ENERGY CODE: WSEC: NWEC: WOOD: SO HEAT PUMP UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: k************************************************************************* MECHANICAL FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP(100,000)--- GAS HTG EQUIP +100,000 ---- GAS PIPING - # OF UNITS HEATPUMP 1-100 BTU HEATPUMP 101-500 BTU HEATPUMP 501-1000 BTU HEATPUMP 1001-1750 BTU HEATPUMP +1751 BTU REFRIG 1-100 BTU REFRIG 101-500 BTU REFRIG 501-100 BTU REFRIG 101-1750 BTU REFRIG +1750 BTU AIR CONDITIONER 0-3 HP AIR CONDITIONER 3-15 HP AIR CONDITIONER 15-30 HP AIR CONDITIONER 30-50 HP AIR comprnoune +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTHES DRYER DAMCZP NUMBER: OF YES OR . NO PLUMBING. FEES ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBER OF YES OR NO