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1988, 12-15 Permit App: 88004016 Pellet StoveINFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: /0707 CITY/STATE/ZIP: a SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: 0 OF BUILDINGS: it OF DWELLINGS: WATER DISTRICT: OWNER: �0� �� i �r�� 2 PHONE: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: `� � ) *442/_,/��..eJ CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION PHONE: ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: PHONE: DI ON: CHANGE OF USE: DWELL UNITS: „, OCCUPAN''-LOAD: B 'ING HGT: STORIES: X REQUIRED PARKING: f HANDICAP: SEWER (Y/N): HYDRANT: BUILDING DIMENSIONS: (WIDTH .,DEPTH) SQ. FT. : CONTRACTOR LIC1: CONTRACTOR: MAILING ADDRESS: PLUMBING INFORMATION *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LICA: //7L !D6C / 73,?(,f CONTRACTOR: Ft41 Cc 614,e6 6"/V c°L/v r,e ±NC MAILING ADDRESS: . C /c) SimrG(G(, P Coccki /V E, C.c1)4 7 %vL 6 ✓ i ELECTRIC: GAS: OIL: CCAL: ENERGY CODE: WSEC: NWEC: WOOD: , SOLAR: HEAT PUMP UTILITY: SGC: APPROACH PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: **xxxxxxx*xx****xx**x*x***x**x********x**xxxxxxxxx*******x*xxx**xxxxxxxx*x* 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 - 1 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 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 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 WA'rk R HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL_ DRINKING FOUNTAIN NUMBER OF YES OR NO