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1989, 11-08 Permit App: 89004584 Fireplace InsertkRCEL NUMBER: I I:F Oi ATI ON WORKSHEET i REET ADDRESS : „ - ` ir3' S\ ft1�1W� [TY/STATE/ZIP: Q L� ` O `0 . SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: OF BUILDINGS: NER: f OF DWELLINGS: WATER DISTRICT: c ',I LING ADDRESS: TY/STATE/ ZI P: ti} -.'11:),C}:1";: - }'itOt:T: LEFT : GHT: I: AR : :1:i 1'r U:;E: _ .ice ���5� .�• PHONE: PRONE: BUT LDI NG I t:'t ORMAT1 ON ;ti';'F:).(' O/. .1 (7} -:Ne -.E UU1:13ER: F TRA ("1vPCN,1\` C9M ,— ]'IIONE: 1.] t:G),})})} E: f :- -:i31 T1'(-r/}-NGI?:} ER: 'MING ),I)i);u-:`;S: PHONE: EL: ADDITION: CHANGE OF USE: 'i:LL Ut:Ii OCCUPANT LOAD: BUILDING 1 : STORIFS:_ I I.DI r:G Di 1!Eu:;]O:: S: QUII?}:D I•),I:}:ING: X (WIDTH X DEPTH) . FT.: { II NDICA.P: SEVER (Y/11) t IiYDiilarr:__ ara4e) Jae.ree} JP. I.3 C # );; i•iJ,CIVP,: `_ILIHG ADDRESS: t**************************!*********1********************************* MECHANICAL INFORMATION )1J'TRACTOR LI Cf : )I.'TRACI`OR : P/49464 64 eg pew. WrEl c _= Li ' I LING ADDRESS: E .9316 J,/C fjl e: -' Hie b4,T#lam ZdI -�• -9 e r � .FCl'RIC: GAS: OIL: ERGY CODE: WSEC: CCAL: WOOD: SOLAR: HEAT PUMP 2 WEC: UTILITY: SGC: 'PROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: 1 * 1 * 1 * * * * * * * * * * * * * * * * * * * * * * 1 2 1 1 1 * * * * * * * 1 * * * * * * * * * * * * * * * * * * * * * i 1 * * * * * * * MECHANICAL FEES D}:S(:I I IrJ'ION :SS1UG FEE SY:-;'1 EN. ; i OVE/ 11:.;Ei:T hJ'ER l HFJ TER _ ITC; EQUIP (300,000) l'U n IJ'G EQUIP 4 100, 000 )11'1 IIG - t OF UN 1 TS 'UMP 1-100 13TU - 'UMP 301-500 BTU 'U1iP 501-1000 BTU 'UMP 3001-1750 WJ.0 >tt1•;P 43751 W1'U G 1-100 1311J G 101-500 BTU G 501-100 B.1U G 101-3750 BTU G 41750 13J'U - 'ONDIT1U`21:R 0-3 111' 7JNI)1T1O1i1:R 3-15 HP VP::1)I T1 O:1ER 15-30 HP '0::1)1TIO::ER 30-50 HP :)';U]TIG::F_'R 450 HP I J.'J' I N G FANS ); !ATI VP. COOL}-: i :S NUMBER OF YES OR 140 I :Y 1:R / ,:U C1.S RPP1.77.`4( E 1)1.I:}1 1-1 ( it,0 ''I 1! PLUMBING FEES ITEM DESCRIPTION NUMBER OF -- PROCESSING FEE J01 LETS SI N }:S SHOWERS IWill TUI:S KI TCM -:N SI 1:}.S D] SI W1i:liERS G7J:RAGE 1)] S POSAL CIJJ'1'H S %:1-. SIiE:R UTI Ll'1'Y ] tJKS ELECTRIC WATER 11F.ATERS i'IJDDR DR1JNS I'I J_)JR I:AP. SINKS I7!'7;)F 1),1,1 NS 1.7.W14 SPRIN};LFR SE AGE EJECTOR WI. i i R SO} -'I EhI-:R URI1:IAL I)RINFJlIG FOUNTAIN YES OR NO