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1989, 05-05 Permit App: 89001178 Sewer • INFORMATION WORKSHEET PARCEL NUMBER: �� �5-LJl — 1 a STREET ADDRESS: o�� 4 1 a L eta_ S1- CITY/STATE/ZIP: S1 oka hP Loan cn) q c 7a It, SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: y� # OFI DWELLINGS: WATER DISTRICT: OWNER: \W�' I I i c3 vr, A • — I 1 e'c 0 t1 PHONE: _- MAILING ADDRESS: Olnc Cf 1 L CITY/STATE/ZIP: I(ciym-,, _Q ),, , 1 1 -_I CONTACT: PHONE: - - SETBACKS: - FRONT: cc LEFT: RIGHT:, REAR: PERMIT USE: Ectsefn n .SP(J )e { 'ttooK **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: r rrCONTRACTOR: On S`t'F�.ec Ovl: PHONE: - - MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: �/ PLUMBING INFORMATION CONTRACTOR LIC#: ` , O,vL ��� ICS I- �`/Sr/ CONTRACTOR: L onarcLl 1�IY i +s CO St? . `ts 00 el strue4ii0,r) MAILING ADDRESS: FI ! $ 1 7 I le 14, 1US cofCa e q9a /6. -65, cie_,- s.,76,4/ ********************************************************************* ***** MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *************************************************************************** MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION NUMBER OF_ ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO DUCTWORK SYSTEM TOILETS WOODSTOVE/INSERT SINKS GAS WATER HEATER SHOWERS GAS HTG EQUIP(100,000)BTU BATH TUBS GAS HTG EQUIP +100,000 KITCHEN SINKS GAS PIPING - # OF UNITS DISHWASHERS HEATPUMP 1-100 BTU GARBAGE DISPOSAL HEATPUMP 101-500 BTU CLOTHES WASHER HEATPUMP 501-1000 BTU UTILITY SINKS HEATPUMP 1001-1750 BTU ELECTRIC WATER HEATERS HEATPUMP +1751 BTU FLOOR DRAINS REFRIG 1-100 BTU FLOOR SINKS REFRIG 101-500 BTU BAR SINKS REFRIG 501-100 BTU ROOF DRAINS REFRIG 101-1750 BTU LAWN SPRINKLER REFRIG +1750 BTU SEWAGE EJECTOR AIR CONDITIONER 0-3 HP WATER SOFTENER AIR CONDITIONER 3-15 HP URINAL AIR CONDITIONER 15-30 HP DRINKING FOUNTAIN 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 AIR HANDLER 10000 CFM