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1987, 05-28 Permit App: 87001513 Addition* INFORMATION. WORKSHEET - * ****************************************************************************** * / /� 1513 * * PARCEL NUMBER: / g 5517 " % O 0 O * * STREET ADDRESS: /V /0 I BCt-e/tee r /C d - * * CITY/STATE/ZIP: 6jwcevs at, eS (.✓A 99U/L * * * SUBDIVISION:- *- * * BLOCK: LOT: ZONE: - DISTRICT: * * T— * * LOT AREA: F/A: ' _.WIDTH: ¢2 DEPTH: (,070 1 R/W: ‘90k' * * it OF BUILDINGS: it OF DWELLINGS: / WATER-DISTRICT: ✓EleA * OWNER: /'b ''it Al ,4//e n S PHONE: -$ - 9//15-4 * * MAILING ADDRESS: .4/10 / 1.76. rker g.d * * CITY/STATE/ZIP: Gjrce .. a e v s W R_ 19U r(� * * * .CONTACT: PHONE: - * * SETBACKS: - FRONT: et LEFT: S iI2 { RIGHT: D REAR:'' S623 * * PERMIT USE: SI Alci ii%on •'7 ¶2 15 e4l pNbC (l��*+J. . * * * ***.*.****.************.************.******************.**************************** BUILDING INFORMATION * * - * * CONTRACTOR LICENSE NUMBER: * * * * CONTRACTOR:. PHONE: - - * * * * MAILING ADDRESS:. * * * ,* ARCHITECT/ENGINEER:. PHONE: - - * * * * MAILING ADDRESS: * * * * -NEW: REMODEL: ADDITION: CHANGE OF USE: * . .. * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:* * * * BUILDING DIMENSIONS: e X 24-C (WIDTH X'DEPTH): SQ.'rGGFT:-: Il(e7 * * REQUIRED PARKING: fi HANDICAP: SEWER (Y/N):_ HYDRANT: *****************************************/it***1************1****** S 22- 7 �v t). BP= 82. �a 91 ,p vi - f2 - ttii4*******4tc*****44444!444**44*4*4`t4t.44tt44#tt4*******4*L4444ttmt4ttttt':. PCUP BINC. INFCRM4TIOW 4 CONTR LICA:___— 4 * CONTRACTCR: PFCNE_____ ___ __ 4 * NAILING ACCFESS: ,4 't44t44t4fXf4iX4i4XX4444*4tt44444444*444*44tt444t4*44t4t44X44444t44t4a#44444 * 4 4 4 * MAILING ACCRESS: t 4 MECFANICAL INFGRMATIGN CONTR LICA: CONTRACTGR: FFCKE: ELECTRIC:_ CAS:___ CIL:___ CCAL:_ %CCD:___ SCLAR- FEAT 4 44th *4444tlXfitfXitt444444t4tt4*t#t*******444444tt444f44X44444Xif4t44443 MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/IASERT GAS WATER HEATER GAS hTG EQUIPC10C.000>BTU GAS IhTG EQUIP+100.000 BTU GAS PIPING — A OF UNITS HEATPUMP 1-10011 eTU HEATPUMP 101-500~ BTU HEATPUMP 501-1,000M BTU HEATPUMP 1,001-1750~ HEATPUMP +1,1508 BTU REFRIG 1-100M BTU REFRIG 101-5008 BTU REFRIG 501-1.00011 BTU REFRIG 1,001-1.75011 BTU REI -RIG . +1,750M BTU AIR CONDITIONER 0-3 FP AIR-CONCITICNER 3-15 hP" AIR CCNDITICNER 15-3C HP AIP. CCNOITICNER 30-50 HP AIR CONDITIGNER +50 HP VENTILATING FANS EVAPORATIVE CCOLERS HOODS CLOTI-ES DRYER. RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFH AIR HANDLER 10000+ CFM BTU NLNBER CF YES OR NG ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATE TUBS KITCHEN SINKS DISH WASHERS GARBAGE OISPCSAL CLOTHES 11ASHER UTILITY SINKS ELECTRIC MATER HEATERS FLOOR GRAINS FLOCP SINKS BAR -SINKS ROOF CRAINS LAWN SPRINKLER SEWAGE EJECTGR WATER SOFTENER URNAL DRINKING FOUNTIAN 4 t 4 NUMBER OF YES OR NG 1 • ..)1 Ver ecrccl7-u s5cs dig tl Slope, N 101 OPRKi2 ROAD 6R EiJAcsjLA) , 990/6 C (R055 StcrloJ •v�„c3 z /OA/0 re°. ritir ShaKCs 30 j$%nFcr WC c.vf //2. Shce<<fla 01.• 1 5 $ �2/T 9.X16 ii.r #Z 29"a. c . Ve vs red. BlocKA, /� 30 Zits ✓Lc_rr o n /S frc rn roc f pea -K 7t JrctJv.d /cvol, //g" S4eer. ) /s t %-c l r 22.xq studs /RID r+lsu/ J"" /0 woos lop Rn Vj3 . ; 2; f icrehar I;2 - 6x/i C raw/ sPwce..\ ( Crawl Space, J Van L'S r///r . 3o" £j ra pc-. 291)'n • At . 0 a 161, /2". /xeFAfy;, / 5ycZc w. /3Iierr. /V /p / BA RX -E re A '1) 6/47.41871,4 cif? Wil, 99O/h 06f &t -Ker Rd c. c. 0 r r ca RfRceL /pro: /8554-9008 �tlo ,EAsr ME.Nrs or i it THRs, roR o'r",L17IES f E pAR c o By: .6oydEw. fl L{.L^l/ oVJN BR 422M00 I907 fra Arr7cN.c o 2.3 lb! '/S" I) 'I, `µZl (0, 670' 563t . 2z'