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1988, 07-20 Permit App: 88002057 Plumbing ReversalPARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: INFORMATION WORKSHEET BLOCK: ; LOT: ZONE: DISTRICT: LOT AREA: /CC LC/ F/A: WIJ)TR: /ry DEPTH:19) R/W: 649 # OF BUILDINGS: OWNER: # OF DWELLINGS: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: WATER DISTRICT: PRONE: PHONE: SETBACKS: - FRONT: LEFT- RIGHT: REAR:I PERMIT USE : CCtJCT_CV I C&) CONTRACTOR LICENSE NUMBER: CON'I:h ACTOR: MAILING ADDRESS: BUILDING INFORMA'T'ION MOUE: : ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: I DWELL UNITS OCCUPANT LOAD: BUILDING HGT: 1STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ REQUIRED PARKING: # HANDICAP: SEWER (Y/N): FT.: HYDRANT: CONTRACTOR L1C4: CONTRACTOR: MAILING ADDRESS: (CI,, PLUMBING INFORMATION �4Sit •.4 r$0' T-/ *******°******* ************nth 'CONTRACTOR LIC#: CONTRACTOR : I ,- **************************rt****** I4ECHANICAF, INFORMATION MAILING ADDRESS: ELECTRIC: GAS: OIL: ENERGY CODE: WSEC: CCAL: WOOD: SOLAR: HEAT PUMP NWEC: UTILITY: SCC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: **********************************'****************************************'* MECHANICAL FEES PLUMBING FEES ITEM, DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/]INSERT GAS WATER BEATER GAS HTG EQUIP(100,000)BTU GAS HTG EQUIP +100,000 GAS PIPING - {( O[' UNITS UEA:CPOMP 1-100 BTU t3EATPUM.T.' 101-500 BTU HEATPUMP 501-1000 BTU UEATPUMP 1001-1.750 BTU HEATPUNP +1751 BTU' REFRIG 1-100 I3TU REFRIG 101-500 BTU REFRIG 501-100 J3TU 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 ATR RANTIT.PP 1 -i nnnn CWM NUMBER OF YES OR NO' ITEM DESCRIPTION' PROCESSING FEE TOILETS SINKS SHOWERS BATH 'TUBS KI'L'CHEN SINKS DISHWASHERS GARBAGE DIESPOsiV:, CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SJNKS LIAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR-( WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBER OF YES OR NO