1987, 04-13 Permit App: 87000945 Plumbing Fixtures3 '._
* INFORMATICN wCRKSHEET
�-
*
GENERAL INFGRNATICN
* PAKCEt_
* S T R E F T A C C R E c- S=---=
----------------------------- -
--�1 S c� �.�G✓% !---------
* C I T Y/ S T A T E/ Z I P�1_r------
Z2 r`� --------------------
* S U P C I v I S I C N=----�
�f2-d �--�� <-ejL _ - - - - ` y raj/> -----------
* H LUCK '__—_--
LG T:------- Z C NE "___--- C I S I p I C T#=-------
* LOT AREA: -----__
F/^:_____-- hIOTN:___--- utPTF:-----__
CF
r?LCCS:_---_-- r ' # CF !)WELIINGS=-____--
* GWN E? -------
--- _---------= c / ! _`_--- F I C N E
* MAIL I14G ADDRESS=�
> _� � x--- �' �t� ----- - - - - - - - - - - - - - - - --
* CITY/STATE/ZIP:_-_
* CGNTALT:-----------------------------------------
FHCNE:---- - - - - -----
* SET?ACKS
- FRCNT LEFT RIGHT ----- REAR
PERMIT
ERMITL St =:--♦----yy-y---y---y--l--yy---y-y---µ----yy----µ-y-Y.�-----y--1--4----J-y-y-y---
# T Y T Y it # 4 ,` K � 4 h � # T #
Y � Y # x 1` x x x � � t * # # T t x` y * # # # * � Y � M � •Y` Y Y #• Y # •: # Yy T T Y x' * �t= * x * * * T=X T x= � * Y t T Y�
Xx*4**x#x#***;x##x#x####xx*xx**x*****Yr#41141***4***##*####********x*****#**#r#�
* PLUNEINC INFCRMATION
* CO N T R LIC 4:-------------------------- x
*
* CONTRAC7CR[i------ PI CNE:---------
*
MA I L I N G A G C R E S S'-------------- -------------------------- #
* MECFANICAL INFORMATION
* CONTR LIC#=----------------------------
* CONTRACTGR:
* MAILING ADCRESS:_—_—_ ____________
* ELECTRIC:-- GAS:—_ CIL:—_— CCAL:_— k00D:_-- SCLAR:_-- FEAT FUMP:_—
* *
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION NLMBER CF
ITEM DESCRIPTION
NUMBER OF
PROCESSING FEE YES OR NO
PROCESSING FEE
YES OR NC
DUCTWORK SYSTEM _ _
TOILETS
wOCCST CVE/ INSERT _ __
SINKS
GAS WATER HEATER
SHOWERS
GAS HID, EQUIP<10C,000>BTU -
BATH TUBS
GAS hTG EQUIP+100,000 BTU
KITCHEN SINKS
GAS P IP ING - # OF UNITS _
QISH WASHERS
hEATPUMP 1-100M ETU
GARBAGE DISPCSAL
HEATPUMP 101-500'N BTU
CLOTHES IYASHER
HEATPUMP 501-1,COOM BTU
UTILITY SINKS
HEATPUMP 1,001-1750N BTU
ELECTRIC ti%ATER HEATERS
HEATPUMP +1,750M BTU _
FLOOR DRAINS
REFRIG 1-100M BTU
FLOCR SINKS
_
REFRIG 101-500M BTU
BAR SINKS
_
REFRIG 501-1,000M BTU _
ROOF CRAINS
kEFRIG 1,001-1,750M BTU
LAWN SPRINKLER
REI -AIG +1,750M BTU _
SEWAGE EJECTCR
_
AIR CONDITIONER 0-3 HP
WATER SOFTENER
AIR CCNCITICNER 3-15 hP _
URNAL
AIR CGNDITICNER 15-3C HP _
DRINKING FOUNTIAN
AIR CCNCITICNER 30-50 HP
AIR CONDITI-CNER +50 HP _
VENT ILAT ING FANS _
EVAPORATIVE COOLERS
HOODS
CLOTt-ES DRYER
RANGE _
GAS LOG _ -
UNLISTED GAS APPLIANCE
AIR HANDLER 1-1000C CFM
AIR HANDLER 10000+ CFM __�__