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1990, 03-06 Permit App: 90000737 Wood Stoves
PARCEL NUMBER: Fty4: INFORM1 TI ON WORKSHEET STREET ADDRESS: N n� �o a i ��f1j [ ^e;tM'i6 CITY/STATE/ZIP: SUBDIVISION: BLOCK: ;.. v . LOT AREA: F/A: WIDTH: DEPTH: R/W: € OF D-rTELLINGS: WATER DISTRICT: \-PHONE: ,5()q - C;a A z LOT: ZONE: DISTRICT: OF BUILDINGS: O.'NE_R: ♦ , 411. MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: r CLQ PIIOITE: SETBACKS: - F!tCNT: LEFT: -_—RIGHT: .PEAR1: T U'>E: CON ;'iu,C'1OR "LICENSE 1:U1{I3ER: BUILDING 1NiADRMATION z s e s ss sss CON FRA.C: OP.: PiIONE: - - ti/J 1.7 NG ADDRESS: ;;PCiil TECT/ENGINEER: PHONE: - t'J,I LI NG ADDRESS: NEW: RF24ODE L: ADDITION:' " CHANGE OF USE: 1..:WELL UNIT'S: OCCUPANT LOAD: DUILDING HGT: STORIES: 1:UIJ.D1NC DIKENSIONE: REQU KED PARKING: X IJAI:DICAP : �aeJ .andJ (WIDTH X DEPTH) SQ. FT_: SEWER. (Y/N): I JYDRANT: A CONTRACTOR LIC$: COMIRACTOR: MAILING ADDRESS: 2222**** **t******** t**t *******t****\ i**********t***2************t****t MECHANICAL INFORMATIION CONTRACTOR LIC#: f ALeo /Je_/7.501,1 CON RACIOR: EI9C60 egtpE MAILING ADDRESS: E .937.E smecr le::J. SAM'a'elJ.9if9a&&; ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: Wn'EC: UTILITY: SGC: APPROACH> PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: }}}• 1**}* 2 2 2 1**} 1 1 2 1 1}* ** 1 1* 2* 2* 1 121***** 122122 22* 2 2 2 2 2 2 2 2**It f 22 1 f f t 2 1 2 2 MECHANICAL FEES PLUMBING FEES :Fr. DESCRIPTION C>LESS1NG FEE Ci 'C)RE SYS'i'Fr' 7i)ST UVE/ IUSERT WATER HEATER HT'G }QU1P(100,000)BTU S -I1'1G EQUIP 4.100,000 S" PIPING - OF UNITS 1-100 BTU 101-500 BTU 501-1000 1Y1'U ATPUMP ATPUMP ATPUMP ATPUMP 1001-1750 BTU ATPUMP +3751 I3TU FRIG 1-100 BTU }-RIG FF 1 G 301-500 BTU 501-100 BTU FRIG 101-1750 BTU FRIG 41750 I3TU R CONDITIONER 0-3 ITP R (OND1TIONER 3-15 HP R CONDITIONER 15-30 HP R CONDITIONER 30-50 IIP R CONDITI.ONER 4+50 1}P ' !:TI TATING FANS AP OPATIVE COOLERS O :3 Cf iiES DRYER ?:GE s ITC LISTED GAS APPLIANCE }2 ??;.?:DLI:R 1-10000 C}7! NUMBER OF YES OR NO ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO 'Jonas SINKS .;BOWERS Pl;i'ii MPS KITCHEN SINKS DISHWASHERS GARBAGE D3 SPCCAL CI/J1'H S WASHER UTILITY SINKS ELECTRIC WATER BEATERS FLOOR DRAINS FI/)JR SINES BAR SINKS ROOF DRAINS IJ.NN SPRINKLER SEWAGE EJECTOR WATER ER SOPFETU•_R URINAL . . DRINKING FOUNTAIN