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1989, 12-04 Permit App: 89005035 Wood Stove• fP ATO?. L.] C: : .FRAC_-1C:FP. : MAILING ADDRESS: Iltr* ***** wittitnrnsit:******ItitItsittiAtsrmtitttit:rntsminmst*:::: MECHANICAL INFORMATION CONTRACTOR LI CI : fig z Code. / 7.92,ze colcnotc-mR: CA 6' geocileCeev_Me, -7-4( - - - • XAILING AD D RES S : 5 .9Z7.6 SAfklie : .:' Steitiqge Ze.); 9 .-_,9:286.- FA .FerRi.c: GAS: OIL: CCAL: WOOD: SOIJ.R: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: _..._ _ LPPROACH> PRESCRIPTIVE:__ POINT: COMPONENT: SYSTEMS: ,,,,.11.1.111:12s1 ********** 2.111211111WWWWWWIFISWWWW121** MEDIAN I CAL. FEES DESCHI PNON NW -;13}-:R OF •: NG FEE YRS OR NO' E SY:-,TFM .:;;TuVE,/ NSERP WATER 1117.A.I'ER HTG EQUIP(100,000)BTU____ HTG EQUIP +100,000 PI PI NG -t OF II;;ITS .'i'i -.IMP 1-300 BTU LJ 'UM!' 301-500 BTU V.'PLIMP 501-100.0 13'1U .TPUMP. 1001-1750 BTU TPIIMP41751 BTU i G 1-100 BTU G. -101-500 BTU i G3601-100 BTU ;3Ga:01-3750 BTU G +1750 BTU : CONDI ONER 0-3 HP . CONDITIONER CONDI T I ON EIZ CO!: DI 'PION ER •: CONDI :N.C.:ER iTJJJSTI!;G FANS CiViRAl'IVE COOL • !UES 1)RYER -1' ..!1!".1ED CiS A PP : NDLER 1 3-15:HP 15-30 HP' 30-50 HP +50 HP ERS LI 7..:TE PLUMBING FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE TOILETS SWKS ::HDWERS NAM IliS KJ itiiil; SINKS VISITHERS GLI:RACE DISP.LCAL UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FI COR SINKS fl? -.fl slrKs PCIOF DRAINS 11:.:1: SPRINKLER srr:LGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN YES OR NO 1 t:FORMA TI ON WORF.SHXE:T PARCEL NUMBER: t75'/2' 260/ STREET ADDRESS: a 1 c1� W.-\ ' S\Q &Ln,.I' CITY/STATE/ZIP: 4ThQf�S�Q SUBDIVISION: BLOCK: IAT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: t OF BUILDINGS: $ OF DWELLINGS: WATER DISTRICT: OWN MAILING ADDRESS: C1 TV/S'TATE/ZIP: CONTACT: Oak PHONE: SETBACKS : - FRONT: !•'r:EM1'I' U:;E: LEFT: PHONE: RIGHT: F_AP. • C')V':'RAC:'1oR i.ICFJZSE NUMBER: CONTRACTOR: !•Sl,] I.] NG )ill!: -::;S: .................. 1 1 1 1 1. 2 1 1 1 1 ......... 12 1 11 1. a: 13U3LDII:G 1NrORT:ATIOtN PHONE: 1'.i•:Gill TECT/FDJGINEF:R: 141.1 I.] NG ADDRESS: NEW: IcFDIODEL: ADDITION:'- CHANGE OF USE:' - PHONE: =LNF:LL .UNITS: OCCUPANT IJJAD: -- BUILDING IIGT: STORIES:. !tUII.DING DIMENSIONS:' I;EQUIRED PARE INC: _ X (WIDTH X DEPTfH) SQ:;)FT-:' j J1ANDIC1J?:'-- SEe rit: (Y/N) :.' IIYDRAIiT: ,%CGCCK) az qth%ic-ie &A° _tei V