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1990, 09-17 Permit App: 90004640 Plumbing Reversal, FixturesINFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: 9 yG 3 12, CITY/STATE/ZIP: 5-19°4'441-Q--- (/6-4//0 -p°4''441-� (/t-4/0 9 92c SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: OWNER: S kI $ OF DWELLINGS: Li/ A4/IRe,LJ WATER DISTRICT: PHONE: -9.21- 5/0/ MAILING ADDRESS: E �i9 Vo3 /7.4 . CITY/STATE/ZIP: S PG%Ax/ 2 ; _.. wA S/ � F;.2.6‘ CONTACT: 5 A 7 —€-__ PHONE: - - SETBACKS: - FRONT: .LEFT: RIGHT: REAR: PERMIT USE: CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: BUILDING INFORMATION PHONE: PHONE: 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: -1—d ,5742. -w -e2 C441/7� Revised 1/88 PLUMBING INFORMATION CONTRACTOR LIC#: A C— 1744-5.v263/t. l-5,t,2C3,C S /2/,..tri ,�9 CONTRACTOR: MAILING ADDRESS: ,P G - gO X �J J7 3 qal-7700 ***************** ******************************************************** MECHANICAL INFORMATION 5'9.7/3 —3537 CONTRACTOR LIC%: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: ENERGY CODE: WSEC: CCAL: WOOD: SOLAR: HEAT PUMP NWEC: APPROACH: - PRESCRIPTIVE: UTILITY: SGC: POINT: COMPONENT: SYSTEMS: -- MECHANICAL FEES ITEMDESCRIPTION- PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS, HTG EQUIP(100,000)BTU GAS BTG EQUIP +100,000 GAS PIPING - 1 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 AIR HANDLER 10000 CFM NUMBER OF YES OR NO PLUMBING FENS •--ITEM-DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS-- . BATH. -TUBS, KITCHEN SINKS 'DISHWASHERS GARBAGE.DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN -NUMBER OF YES OR NO 1-F 6oO I 6 0o ! „ x c s �r� Ts, s��✓ e2 c4 yz r2G c ss rre