1987, 07-10 Permit App: 87002106 Garager C? 2
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* INFORMATION WORKSHEET
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PARCEL NUMBER:
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STREET ADDRESS:
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CITY/STATE/ZIP:_ ifk4d 2
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SUBDIVISION-
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BLOCK: LOT:_L ZONE: '( DISTRICT:
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LOT AREA: F/A: WIDTH: `�1� DEPTH: /70 R/W:
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# OF BUILDINGS: # OF DWELLINGS: ! WATER DISTRICT:
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OWNER:: w. c� 211 PHONE:
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MAILING ADDRESS: j a LLD.ti/
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CITY/STATE/ZIP: 0 IGANQ
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CONTACT:. PHONE: — —
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SETBACKS_ — FRONTLEFT: RIGHT: COQ REAR: Sj
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PERMIT USE:
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BUILDING INFORMATION
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CONTRACTOR LICENSE NUMBER: 1�2
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CONTRACTOR : 7 ; K C.., +- s t," fs PHONE: —
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MAILING ADDRESS: �?,Y �'_ Gtdr�L t'
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ARCHITECT/ENGINEER: PHONE: — —
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MAILING ADDRESS:
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NEW: e�— REMODEL: ADDITION: CHANGE OF USE:
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DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: c STORIES: /
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BUILDING DIMENSIONS: X 3 (WIDTH X DEPTH) SQ. FT.:
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REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
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MAILINGA C CR E S S=--------------- ----------------
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PREVICLS ADDRESS: ------------------ _--
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LOCATIGN:------ FARCEL NLNeER:---- ---------------------------
STREET=— --=--------------------------------------------
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RELCCATICN INFCRPATICN
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MAILING ADDRESS:-----
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MAILING ADDRESS:-- ---------- ------ --
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BUILCING SCbARE FOCTACE:
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NUMBER CF BUILDINGS:—
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MECHANICAL FEES PLUMBING FEES
I IE -4 DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
wOCCSTCVE/INSERT
GAS WATER HEATER
GAS FIG EQUIP<10C.000>3TU
i;A S hTG EQUIP+100.000 BTU
GAS PIPING — # OF UNITS
HEATPUVP 1-100M eTU
HEA TP UMP 101-5001, BTU
HEATPUMP 501-1.000H BTU
HEATPUMP 1.001-1750M BTU
HEATPUMP +1.750M BTU
REFRIG 1-100M BTU
REFRIG 101-5008 BTU
REFRIG 501-1.000M BTU
REFRIG 1.001-1.750M BTU
REI -R IG . +1,750M BTI; .
AIR CONDITIONER 0-3 HP
AIR CGNGITICNER 3-15 hP
AIR CCNOITICNER 15-3C HP
AIR CCNC.ITICNER 30-50 HP
AIR CONDI TI-GNER +50 HP
VENT ILAT ING FANS
EVAPORATIVE CCOLERS
HOODS
CLOTt-ES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-1000C CFM
AIR HANDLER 10000+ CFM
NLKBER CF ITEM DESCRIPTION NUMBER OF
YES OR NG PROCESSING FEE YES OR NC
TOILETS
SINKS
SHOWERS _
_ BATF: TUBS
KITCHEN SINI(S
_
DISH WASHERS _
GARBAGE DISPCSAL
_ — CLOTHES HASHER
UTILITY SINKS'
_—_— ELECTRIC MATER HEATERS
FLOOR DRAINS _
FLOCP SINKS _
BAR .SINKS
ROOF CRAINS
LAWN, SPRINKLEiZ _
_ — SEWAGE EJ-ECTCR _
WATER SOFTENER
URNA L
DRINKING FOUNTIAN
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