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1989, 09-22 Permit App: 89003562 Pellet StoveI NFORMiii7.1ON WORKSHEET PARCEL NUMBER: E BEET ADDRESS: L- . %3_/- '3 ��� e (' . CITY/STATE/ZIP: ''��—'/2� SUBDIVISION: BIOCK: LOT: ZONE: DISTRICT: IAT AREA: F/A: WIDTH: DEPTH: R/W: t OF BUILDINGS: € OF DWW'ELLINGS: WATER DISTRICT: 0'44ER: i ��fiL� �l P�Li� PHONE: - X .Z) MAILING ADDRESS: C1TY/STATE/ZIP: CONTACT: :;ETI:bCKS: - l'PrtrT: i:l:M1 T USE: PHONE : LEFT •RI GIIT: :lltxsx11.1171x •"i:4TRAC:'1'OR I.ICF:N ;E I:1i1",i3ER: ! :);:'I'}J,C.JUR: ( id 1.) NG I•.l)Ui2F:: : 7,1:Cii1TECT/EINGIt E ER: I I.I NG ADDRESS: I3UJ LDING I t:•r•'ORIJ TI ON F. EAR : ***,, *****.*,**********,*! PHONE: PHONE: NEW: I:EMODF:I.: I'fELL UNITS: PUIJ.DII:G DiV.YNSIO:1C: EQUIISI?D 1.1.J21:ING: PA2rr I.01.D: . CHLNGE OF USE: BUILDING GT: STORIES: ' (HID'I1i X I)EV.It SQ. Fr.: 1 1UNDICAP: SEWER (Y/!.) : 1 RANT: ,fzoze) ev�,edJ �,P Gofer o� Cir�Ze�rrzU. CONTRACTOR CON'IRACTOR : AILING ADDRESS: /\ - ssszsrssszsszsrzszsszssssrhsrzsss:szzs:::::zzrrszr::zzzzzzssszzz .`11E0ANICAL INFORMATION.. CONTRACTOR LICI: ____Pg.LdOtee./IYOZZ CONTRACTOR: FAL Co . Ggpeg_— ivrEt,--r-�% E .p37D SMfW& L! seem,9N4' 4,8 #9.c NAILING ADDRESS: ELECTRIC: GAS: OIL: CCAL: WOOD: / SOLAR: HFJ,T PUMP ENERGY CODE: WSEC: . _ 'NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: t) , 1 1 1 1 l i 1 1 1 1 1 1 1 2 1 f i 1 1 1 1 1 2 2* 1*** 1 1 1 1 t 2 2 2 s 2 2* 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1•- I.7ECIiJJIICAL FEES i:EM DEs :RI1''I'lON 2UCESSING -FEE -- )C'1'n'C)RK SYS 1 F.M ODS1JVE/It:SE:i.T WATER HEATER HYJ,l'}iR .S li'1'G Er)U1P(300,000)3T'U '.S H'1'G EQUIP 4100,000 \S PIPING - f OF UNITS :A'1'PUMP 1-] 00 BTU :A'1'I'i;M1.' 201-500 }i7'U :ATI'UMP 501-1000 ETU :ATi'UMP 1001-1750 BTU .:..•1•PUMP +] 751 BTU :FRIG 1--]00 BTU 1FRI G ] 01-500 BTU :FRIG 501-100 in'U :FRIG 101-1750 BTU :FRIG +1750 BTU R.COUI)JTIO'ER 0-3 1W 1: CONDITIONER 3-15 HP R CONDITIONER 15-30 HP R CONDITIONER 30-50 IIP R CONDITIONER +50 HP :.':'J7 i.A'I'ING FENS .AI'7PATJ.VE COOLERS OBS 4filiES DRYER q.E .s 111:0 ;LISTED GAS APPLIANCE R HANDLER 1-10000 C17. NUMBER OF YES OR NO ' PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS 31 -iii '11)13S KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FIiDDR S1/MS BAR SINKS RODE DRAINS LA1,1I SPRINKLER SEWAGE E7E_CIOR WATER SOFI E ER DRII:FJNG FOUNTAIN NUMBER OF YES OR NO