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1989, 04-26 Permit App: 89001033 Wood StovePARCEL NUMBER:' INFORMATION WORKSHEET STREET ADDRESS: A/. /X Ceti !e, CITY/STATE/ZIP: ()Q91ra 7)e i{/Q, 9902/.2 SUBDIVISION: BLOCK: LOT: ZONE: .. 'DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: ., # ,OF DWELLINGS: ... - .,.. WATER DISTRICT: OWNER: PHONE: - MAILING, ADDRESS:- CITY/STATE/ZIP: . CONTACT: (�eO%G� P 5/CPHONE:.0? -2- c2Qc5 a SETBACKS: - FRONT: LEFT: RIGHT: :'REAR: PERMIT USE: ..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: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LIC#: CONTRACTOR: PLUMBING INFORMATION MAILING ADDRESS: MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: ENERGY CODE: WSEC: OIL: CCAL: NWEC: WOOD: SOLAR: UTILITY: APPROACH: PRESCRIPTIVE: POINT: HEAT PUMP SGC: COMPONENT: SYSTEMS: MECHANICAL FEES ITEM DESCRIPTION ''ER OF PROCESSING FEE ,., �.OR NO DUCTWORK SYSTEM WOOD_STOVE/INSERT-.._ .... ._.. __,.. ..__ GAS WATER HEATER . GAS._HTG,_ EQUIP (100, 000) BTU GAS HTG EQUIP +100,000 GAS PIPING _-#._OF' UNITS.___._. = 1_ HEATPUMP 1-100 BTU !!!PUMP -101-500_ BTII.___ HEATPUMP 501-1000 BTU HEATPUMP41001-1750-BTU " HEATPUMP +1751 BTU REFRIG 1-100 BTU REFRIG 101-500- BTII ..-.-.._.... . .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 CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTHES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANDLER 10000 CFM PLUMBING FEES ITEM DESCRIPTION PROCESSING -FEE' TOILETS SHOWERS BATH:TUBS- ._..._.-._ _.. KITCHEN SINKS DISHWASHERS :' .• ' GARBAGE DISPOSAL NUMBER OF YES •OR' NO UTILITY SINKS `•` " `" ' ELECTRIC `WATER HEATERS FLOOR DRAINS FLOOR SINKS --BAR-SINKS t:. ROOF DRAINS LAWN SPRINKLER._ SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN