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1989, 05-02 Permit App: 89001104 RemodelPARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: . .� 9/ ( mdt /L CITY/STATE/ZIP: SUBDIVISION: BLOCK: -C�LCJCir��! tvc( , q'ZjL/ 2— LOT: LOT: LOT AREA: F/A: # OF BUILDINGS: OWNER: ZONE: DISTRICT: WIDTH: DEPTH: R/W: # OF DWELLINGS: MAILING ADDRESS: E. 19,i /rte WATER DISTRICT:,, PHONE: 0.1 CITY/STATE/ZIP: _97-0 ,.t CONTACT: R SETBACKS: - PERMIT USE: ********************************************************************+k+kiF****1 BUILDING INFORMATION !Na- • 9 `3 z ' 2 --- FRONT: 3 (� LEFT: < PHONE: 5-0 7 - % - 7 5 L Svc RIGHT:' REAR: C 0 CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: /10 pj e-- PHONE: ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: \L REMODEL: PHONE: ADDITION: CHANGE OF USE: BUILDING HGT: 114STORIES:�v DWELL UNITS: I OCCUPANT LOAD: BUILDING DIMENSIONS: 3 / % 2 (p (WIDTH X DEPTH) SQ. FT.: it 4f REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: PLUMBING INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: / GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: yv NWEC: APPROACH: PRESCRIPTIVE: UTILITY: POINT: COMPONENT: SGC: SYSTEMS: **************►************************************************************ MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM NUMBER OF YES OR NO WOODSTOVE/INSERT ye) GAS 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 AIR HANDLER 10000 CFM ITEM DESCRIPTION PROCESSING FEE 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 NUMBER OF YES OR NO N � � 4..It \ M rin qo - 20 r N3 7/;9 7 3 7111110.7 l I 0 3�. 7::f.7 •M Zt oc • • •t -o s 11 O i's 8 i .0727