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1988, 10-10 Permit App: 88003136 Furnace, Water HeaterINFORMATION WORKSHEET PARCEL NUMBER: ( `t ,) " % ( - o o G'� STREET ADDRESS: E / 57/ a rl A �G DN CITY/STATE/ZIP: SUBDIVISION: /"LA PAYLZ- I412,(L BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: 9c) DEPTH:1 2-0 R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: PHONE: -V\ - old MAILING ADDRESS: O \E CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: (..A -0-45v 4 A z_ c7 'C -{A cv **********************************.******************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: T/ /`7 S /4 A -S /3 / r1 Lt CONTRACTOR:-T!,-i'S /41'a7)N5- 0 ACL, PHONE: j ?y -�/�`j - yGc MAILING ADDRESS: C- //3 - OCi)Po� 5 £d N/9 -7/7v44 -ex ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: gL ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LIC#: CONTRACTOR: �+���✓aa•v il•l V1N.1-11111 V1\ MAILING ADDRESS: *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC# :7/iySA ,is / 3 CONTRACTOR: J I "1 ‘5 /4' /,1 t j do ,,Cj C MAI LING ADDRESS: F - 7 / / 3 - Ct �5 led ELECTRIC: GAS: x OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: MECHANICAL FEES ITEM DESCRIPTION .;d:ER OF PROCESSING FEE '"S OR NO DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER > '5 ( 11 GAS HTG EQUIP(100,000)BTU y25 CO 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 PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELEC-TRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBER OF YES OR NO