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1989, 01-27 Permit App: 89000187 Radon Abatement
INFORMATION WORKSHEET PARCEL NUMBER: u 107 STREET ADDRESS: ` N)) CITY/STATE/ZIP: 'ej\(-41. .sz (,o A 91 D7Th 1 0w-go,QiL. SUBDIVISION: LiCsKt V /DAL-C.C. 2kJ,C) BLOCK: W LOT: ( ZONE: DISTRICT: F= LOT AREA: F/A: WIDTH: (/1) DEPTH: f l j i/ R/W: 5L # OF BUILDINGS: OWNER: O criv.g.. # OF DWELLINGS: �. qL,„„L4 mCL SQ1 vo u. MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: WATER DISTRICT: PHONE: k)ar P 124,) (, PHONE: -920:- SETBACKS: - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: 'f j j t,_ o.\ock` Q e ****************************************************************************** CONTRACTOR LICENSE NUMBER: BUILDING INFORMATION CU/LC CONTRACTOR: s� PHONE: -D-`t----121k- 6;2 P MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: *************************************************************************** PLUMBING INFORMATION MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: Y GAS: OIL: • ENERGY CODE: WSEC: CCAL: WOOD: SOLAR: HEAT PUMP NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *************************************************************************** MECHANICAL FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP(100,000)BTU 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 IIP 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 11 TT) rY1 1r1 -sr r., n,.,... ..-.. 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