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1989, 12-04 Permit App: 89005022 Pellet Insert
Z!:ON WO"ri'.SHK T PARCEL NFWU MER: V LVI STREET ADDRESS: L _ CITY/STATE/ZIP:���(� SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT ARKA: F/A: WIDTH: DEPTH: R/W: r OF BUILDI14GS: OF D'WELLINGS: WATER DISTRICT: • PHONE:--_c� MILING ADDRESS: CI!'Y/STATE/ZIP: CONTACT: PRONE: - - LEFT: RIG}ir: P.F_zP,: 7 7 7 7 7!! t 7!!!!!! 7!! t 7! t#! 2 t# x !c k t,t t 2 t 2 t x 2 2 2 2 T >: f. X 2 2 7 X X X 2 Y. 2 2 2 1# X 2 2! t t!# 2 X# X# X X 2 2 IRTILDING It:'r'O;U-'-kTIOt: I.I CKNSF_ NUMMER: PHONE: - - ?•.3 I.I NG ADDRESS: NEM:-_ _ hFliODEL: ADDITION: C1iANGE OF USE: �r:LL UNITS:,^_ OCCUPANT IIJAD: BUILDING BGT: - STORIES: ' UII.DIi.G Uittl.ttSIO'.S: X (WIDTH TL DF-P—ili) SQ. FT-: JUIIDICAP:' SEW-KiZ WIT) : IiYDRhNT: f :)::: i•:ACIUP.: ?.' ILING ADDRESS: s::xxx:x:xx:xx:xxx:x:x:x:xxx:s:xxxxx:::ll:ixx:i:x::iix:xxx:xxxxxx:x:xxx: MECHA N ICAL INFORMATION MITTRACTOR LIC # :fu MAILING ADDRESS: ���f Il3U�• ' J' /�iT�4r AIX .,47��A1 � FT. FCl'RIC: GAS: OIL: CCAL: HOOD: SOLAR: HKAT Piltz F?.FRGY CODE: WSEC: lx'hEC: UTILITY: SGC laPPROACII;- PRESCRIP'T'IVE: POINT: C'CWI'ONKN'T: SYSTF-MS: Mw.ClL?JNICAL I•F.FS PLUMBING FFES :t', 1)-Y, CIO 1-11'1N_O_N_Ui•MER_OF_ �;'r:�:SI11G YEE -- — - ----- YI•S OR NO 3_-,']10VI,/ I I::-.E.PT - - --- — il7'G I-:QUIP(100,UU0)IS'1'U ___ -_— VTG EQUIP 4100,000 _ PIIII14G - € OF 11411'S 1-100 I311'U --_-_ - _- 'l-f'LIMP 101-500 IITU '-')<ZU?iP501-1000 I3'I1) - - --- ' ��ur1P 3001-1750 MIJ PUT -:P +1751 13TU -- — -_ ►'IG 1-100 I3'1U I'IG 101-500 D U I: I G 1301-300 I3'1'U K; G 101-1750 BTU - --- —_ i'JG 41750 BTU _ ' COUMITIONER 0-3 IIP WNDITIO.NER. 3-15 IIP _ �CNDITIONE'R 15-30 I1P _ l tC#N'DITIO::ER 30-50 IIP ,COI:DITIONU'R +50 IIP -- - TITATING FA11S 4'Z)PAT1VE COOLYRS ." .FS Di:YFR "TED C1„ I1'r DESCRIVFION NUMBER OF _ I'ROCESSI NG FEE YES OR NO `1171 I.F:'15 S I t: }:S - T0BS -- — KI I1:1IKN SINKS - -- -- cJ.I��- CII-l'1'IiI•S- U'1'ILITY- ELECTRIC WATER 11FA'TFRS ------ F l n]R DRAI NS - -- 11,_)DR _SINKS — -- I3?-.R SI N,vs - - — Pt -)DF I)PJ:1 NS — I.'.'n?+ SPRINKLF_R '17rAGE EJECTOR — — WATER S0FI'KNKR -- t1}:I1:t:L _ — DRINKTNG FOUI<TAIN