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1988, 11-18 Permit App: 88003736 Chimneyo 7 INFORMATION WORKSHEET PARCEL NUMBER: 855 / - 2306 313e, STREET ADDRESS: l9&76P CITY/STATE/ZIP: SUBDIVISION: V/Ql� /Ekti BLOCK: %b LOT: ZONE: 45 DISTRICT: CI LOT AREA: /&W F/A: WIDTH:/6e. DEPTH: Agor R/w: / 660 273 0 g OF BUILDINGS: f OF DWELLINGS: WATER DISTRICT: OWNER:2zi112� ��1J MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION PRONE: ARCHITECT/ENGINEER: MAILING ADDRESS: PHO NEW: REMOD ADDITION: DWELL UNITS: •_ ANT LOAD: BUILDINGHHT: A BUILDING DIMENSIONS: X CHANGE 0 SE: (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: PLUMBING INFORMATION \V t. :************************ **********************************A***** *** W***** MECHANICAL INFORMATION CONTRACTO•R LIC4: /-LC�6C73/Pu •7 CONTRACTOR: ( yn CO (//7/2.40 6771/ CEN T75L , J- /VC • 93/C S/�racirce Sp3J/9/VE. <JflQYClo MAILING ADDRESS: ELECTRIC: GAS: OIL: ENERGY CODE: WSEC: CCAL: NWEC: WOOD:,} SOLAR: HEAT PUMP (0li�rxixex UTILITY: SGC: APPROACH> PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: **x*****************************x****************************************i = MECHHANICAL FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM v� WOODSTOVE/INSERT')& GAS -WATER HEATER GAS'HTG EQUIP(100,000)BTU GAS ;LTG 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 NUMBER OF YES OR NO 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 WALER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER DRINKING FOUNTAIN