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1988, 11-02 Permit App: 88003538 Mechanical Fixtures
PARCEL NUMBER: .. INFORMATION WORKSHEET STREET ADDRESS: E 88 07 CITY/STATE/ZIP: �f(2 /moi G/ P _ 9F2_ SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWN )(j vl / MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: 7z- y— rcS).s" 88 PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: ****************************************************************************** CONTRACTOR LICENSE NUMBER: CONTRACTOR:; BUILDING INFORMATION Cpt y lir ? GY-- MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: PHONE: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH -X DEPTH) SQ. FT.: REQUIRED PARKING: if HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LIC#: CONTRACTOR: PIA1MBI G INFORMATION ilii -to S k MAILING ADDRESS: *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: . POINT: COMPONENT: - SYSTEMS: *************************************************************************** MECHANICAL FEES PLUMBINGFEES ITEM DESCRIPTION NUMBER OF ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO DUCTWORK SYSTEM TOILETS WOODSTOVE/INSERT SINKS GAS WATER HEATER j SHOWERS GAS HTG EQUIP(100,000)BTU / BATH TUBS GAS HTG EQUIP +100,000 KITCHEN SINKS GAS PIPING - # OF UNITS 3 DISHWASHERS HEATPUMP 1-100 BTU GARBAGE, DISPOSAL HEATPUMP-101-500 BTU- CLOTHES WASHER HEATPUMP 501-1000 BTU UTILITY SINKS HEATPUMP 1001-1750 BTU' ELECTRIC WATER HEATERS HEATPUMP +1751 BTU FLOOR DRAINS REFRIG 1-100 BTU FLOOR SINKS REFRIG 101-500 BTU BAR SINKS REFRIG 501-100 BTU ROOF DRAINS REFRIG 101-1750 BTU LAWN SPRINKLER REFRIG +1750 BTU - SEWAGE EJECTOR AIR CONDITIONER 0-3 HP WATER SOFTENER AIR CONDITIONER 3-15 HP URINAL AIR CONDITIONER 15-30 HP DRINKING FOUNTAIN AIR CONDITIONER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTHES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM ATR uaufT.RP i nnnnr