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1988, 10-14 Permit App: 88003236 Pellet Stove
INFORMATION WORKSHEET PARCEL NUMBER: 015111- OS05 0 (,Q' 325! STREET ADDRESS: / /. i42 /c /( �ae%Z/ / _,A p CITY/STATE/ZIP: �2.�)ee / i; %/a/6 SUBDIVISION: 1 Cil i AISk i / S -r. BLACK: 2 LOT: 5 ZONE: SFR DISTRICT: F LOT AREA: I2&it F/A: WIDTH: 4 OF BUILDINGS: OWN ER : MAILING ADDRESS: - te) $ OF DWELLINGS: CITY/STATE/ZIP: CONTACT: DEPTH: !40 R/W: COO WATER DISTRICT: ccg P NE: S9- 9o7a- Lie PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: ,aeYYOYJ 2f yz.v2":„2Dia ;,-,J t*ttr*** ttttkt*tt*:ttttttt*t****tttttt*t*tttttt**t**t*ttttttttt******tttttttt BUILDING INFORMATION COtiTRACT'OR LICENSE NUMBER: CONTRAC'T'OR: MAILING ADDRESS: PHONE: • ARCHITECT/ENGINEER: ' PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: .00CUPANT LOAD: BUILDING BGT: STORIES:' BUILDING DIMENSIONS: REQUIRED PARKING: X 4 HANDICAP: (WIDTH X DEPTH) SQ. FT.: SEWER (Y/N): HYDRANT: CONTRACTOR LIC#: CONTRACTOR: ,7• PLUMBING. INFORMATION 777 MAILIAd—ADDRESS: :? A". 7:- CONTRACTOR CONTRACTOR: MECHANICAL INFORMATION /9&c6C/73zU' ; 7-74C Co 6•460 C/1/ j et cjViC2, Serraa/xe „Scab- 9/V s (6j4 9%zio WOOD:X SOLAR: HEAT PUMP UTILITY: SGC: POINT: MAILING ADDRESS: ELECTRIC: GAS: a•‘. ENERGY CODE: WSEC: 1 • r r/VC. OIL: CCAL: NWEC: APPROACH> PRESCRIPTIVE: COMPONENT: SYSTEMS: zw***hxsRRstxXtth*********z:rx}X22r::t*****l:r:Xt4444*********YiY******trt MECHANICAL FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT 9&t1 GAS WATER HEATER GAS'HTG EQUIP(100,000)BTU GAS HTG EQUIP +100,000 GAS PIPING — $ 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.U.R HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL .... DRINKING FOUNTAIN NUMBER OF YES OR NO'