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1989, 07-27 Permit App: 89002464 Pellet StovePARCEL NUMBER: y INFORMATION WORKSHEET STREET ADDRESS: ( �-$O 9 jW24. CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: OF BUILDINGS: OWNER: MAILING ADDRESS: CITY/STATE/ZIP: 'ONTACT: $ OF DWELLINGS: WATER DISTRICT: L.eJ SI T-11'i/1C ' PHONE: —2— 93/ 7 SETBACKS: — FRONT: PERMIT USE: LEFT: PHONE: RIGHT: REAR: pzi&?‘ s % R 1t * * * * } * * } * Y ! f * f * * * * i * * * * * * * * * X Y * * * * * * * 7 * * * * * * * * * * * * * * * * * * Y * * * * * * * * * * * * ! ! s BUILDING INFORMATION • f}JC'POR 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: REQUIRED PARKING: 4 •. / s X (WIDTH X DEPTH) SQ. FT.: HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LIC€:___ CONTRACTOR: MAILING ADDRESS: MECHANICAL INFORMATION CON'T'RACTOR LIC#: 1/9/(±6.4e:/ 7j2)27 • ,A= %9z !'6 S i �J'7.?Z ri C' '1 7;�7 rJ � 4(6. - /.� MAILING ADDRESS: 7v%� ��Y� / 'l� •. : C.. f7%G .f/7 • -9°?/4- CONTRACTOR: 9 4 - CONTRACTOR: ELECTRIC: GAS: OIL: ENERGY CODE: WSEC: CCAL: WOOD: X SOIA,R: HEAT PUMP NWEC: APPROACH> PRESCRIPTIVE: UTILITY: POINT: COMPONENT: SGC: SYSTEMS: xss121 x222222222*****x*****112**:2*1*122***111*t2 2*******ttt**11*t**r**t:2t MECHANICAL FEES ITEM DESCRIPTION 'ROCE:SSING FEE liCTylp..K SYSTEM -gi TJVE /INSERT S WATER RENTER IPTG EQUIP(100,000)BTU GTS IITG EQUIP +100,000 GAS PIPING - # OF UNITS IiEATPUMP 1-100 BTU 1IEATPUMP 101-500 BTU HERI'PUNP 501-1000 BTU H ATPUMP 1001-1750 BTU ',EJ;TI'UMP +1751 BTU ::FRIG 1-100 }3TU •:FRIG 101-500 BTU ::'*RIG 501-100 BTU :'.*.FRIG 101-1750 BTU :•::FRIG +1750 BTU IR CONDITIONER 0-3 HP iR CONDITIONER 3-15 HP .IR CONDITIONER 15-30 HP :IR CONDITIONER 30-50 HP AIR CONDITIONER +50 HP 'i:NTILATING FANS EVAPORATIVE COOLERS lOODS :ICT1iES DRYER 'l:NGE GAS LOG UNT.ISTE:D GAS APPLIANCE r%IR HANDLER 1-10000 CFM NUMBER OF YES OR NO PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE 'INLETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS' GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOJR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE,EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBER OF YES OR NO