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1988, 05-27 Permit App: 88001347 Deck Cover
INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: 5 ma-/ /o MAILING ADDRESS:, I0sc) �lJISI fsV? ICQnC CO,4 CITY/STATE/ZIP: ,"QO,eOnfi� WO SUBDIVISION: BLOCK: LOT: LOT AREA: F/A: ZONE: WIDTH: DISTRICT: DEPTH: R/W: # OF BUILDINGS: J # OF DWELLINGS: WATER DISTRICT: OWNER: Jel. kHe, PHONE: '5p7 MAILING ADDRESS: E f3 /Us- j%'JQo r? CITY/STATE/ZIP: ," aaDkanc (DC7 CONTACT: has --tan PHONE: S-65-�(p_(�_- o -2o SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: PbJ COu c woe -)c -- BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: ,fj K I KS it 4 17 10 8 CONTRACTOR-- �cj k l p -:1-6h as-ibV1 PHONE : �ED S - 17(64, - -.170-? MAILING ADDRESS:, I0sc) �lJISI fsV? ICQnC CO,4 qq?-1 e ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: Ct _c a- c - NEW: REMODEL: ADDITION: i/ 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:- rLmur jLa%2 lar -U MATION CONTRACTOR LIC#: CONTRACTOR: - MAILING ADDRESS: MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: CCAL: ENERGY CODE: WSEC:' NWEC: WOOD: SOLAR: HEAT PUMP UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: MECHANICAL FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO DUCTWORK SYSTEM WCIODSTOVE/INSERT 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 PLUMBING FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO 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