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Home My WebLink About1987, 03-17 Permit App: 87000634 MH************************************************************************* * INFORMATION WORKSHEET * * * PARCEL NUMBER: 17 c-52_ (1 L-7 (f>Cf' ! c K) * * STREET ADDRESS: f " I c1 Z 4) F C N ice_ /\E * * * CITY/STATE/ZIP:/y* * SUBDIVISION: Osork'/L AND444...--Ft5 (471/:e�Q-Y1' etelt-e * * * * BLOCK: / LOT: .4. ZONE: I- "‘• DISTRICT: * * LOT AREA: F/A: WIDTH: Iv .3 DEPTH: 2 2 R/W: ((b * * * * # OF BUILDINGS: # OF DWELLINGS: * * * * OWNER: 3U1} i (1tn1or� p g U61i- PHONE: - 125- FYI Co * * * * MAILING ADDRESS: * * * * CITY/STATE/ZIP: * * * * CONTACT: PHONE: - - * * * * SETBACKS - FRONT: LEFT: RIGHT: REAR: * * * * PERMIT USE: D U (4 , 0-W C- Y`A C; f i,' I1'5 4 Y,.- * * * ************************************************************************* * BUILDING INFORMATION * * * * * * CONTRACTOR LICENSE NO.: * * * * CONTRACTOR: PHONE: - - * * * * MAILING ADDRESS: * * * * ARCHITECT/ENGINEER: PHONE: - - * * * * MAILING ADDRESS: * * * * NEW: REMODEL: ADDITION: CHANGE OF USE: * * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. * * * *REGUIRED PARKING: 1 HANDICAP: SEWER:(Y/N): HYDRANT: * ************************************************************************* >`-j crE,p) S { w tv f� �� Cr= (Lg Lam:. 1 ************444****44*******4****************4444 4*f#4#***##**444*****#*4*4*#* * * CONTR LIC#: * * * CONTRACTOR: PHCNE: - - * # * MAILING ACCRESS: * * * * PREVICLS ADDRESS: * * # * LOCATION: PARCEL f\LNE'ER: * * STREET: * 4 * CITY/STATE/ZIP:_ * MAKE: '&6) (I1 _-__-- PCDEL :____ * * * SEPIALk: I�IDTF::LENGTF:____ * t*t*T***X:#x4*4*44144**4**********#*************************#***************** * RELCCATICN INFCRNATICt' * CUNTR LIC#: * * * CONTRACTOR: * * * MAILING ADCRE$S: * T * PREV IGuS ACDRESS: * * * * LLCAT ICN:______ PARCEL t\UN@ER: * * STREET: * * * CITY/STATE/ZIP: .*{ + .L ,{ + ./ .l �1 �l y .y .y. y y .{ y. y y y y .y y y y y y y y y .y. y y .y, y* 4** *** ** 4** 1 4 4 X 4 4 4 4 4* ** * 4444***********�4** T*** *r*****4444******** ************#** * SIGN INFCRNATICt' * CONTR LICK: * * * CONTRACTOR:FFCAE:____- - * * MAILING ADDRESS: * * * * SCUARE FOOTAGE:_____ POLE * * * * ***********4*4444**************_4*********#****4******************************* * DEt+CLI T ICt\ INFCRNAT 1CN * CONTR LIC#: * * * * CONTRACTOR: � FHCNE: - - * * - * * MAILING ADDRESS: * * * * BUILCII`G SCUARE FOCTACE: * * KUNBER CF BUILC1t\GS: * NG9ILE FCNE INFCRNATICt\ * 41. FFCt\E' - - * * .* ********►********************************************************************* 444******#***444*#*4*#**4x*#4x*4************************#****Y***x'************ * PLUMBING INFCRMATION *r * CONTR LIC4:___-_ * * CONTRACTCR: * MAILING ACCFESS: * * * 4**x**#xx44*4444*x44*****##****t*************************#*****#*****•#*4****** * MELFANtCAL INFCRMATIGN * CONTR LICA: 4 * * CONTRACTOR: * 4 * MAIL INC ACCFESS: * * * ELECTRIC:_(AS:___ CIL:___ CCAL:_hCGD:SCLAR:___ FEAT FUNP:___ * * FFCNE : - - * * 4*********44444*4444**********************#**********4*x4##4*4444*****44x4*** ******************************************* *** ******************************* ****, MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTIGN PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/INSERT GAS WATER HEATER GAS F -TG EQUIP<10C,000>BTU GAS hTG EQUIP+100,000 BTU GAS PIPING - H OF UNITS HEATPUMP 1-100M eTU HEATPUMP 101-500: BTU HEATPUMP 501-1,COOM BTU HEATPUMP 1,001-1750M BTU HEATPUMP +1,750M BTU REFRIG 1-100M BTU REFRIG 101-500M BTU REFRIG 501-1,000M BTU kEFRIG 1,001-1,750M BTU REI -RIG +1,750M BTU AIR CONDITIONER 0-3 HP AIR CCNCITICNER 3-15 hP AIR CONDITIONER 15-3C HP A I P. CCNC-IT ICNER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTI-ES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-1000C CFM AIR HANDLER 10000+ CFM NUMBER CF YES OR NG ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GARBAGE OISPCSAL CLOTHES HASHER UTILITY SINKS ELECTRIC LATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF CRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URNAL DRINKING FOUNTIAN f'7r,4 o7? NUMBER OF YES OR NG 1 I I 1 0- 30' ;ZOX 5 0 Zoosit -tor be - 3.5+ C.