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1988, 06-09 Permit App: 88001494 Piping
PARCEL NUMBER: INFORMATION WORKSHEET fersi4 _- vogq STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: `1102/ CI�DIJALD SP -78 'C BLOCK: LOT: 6 ZONE \_ DISTRICT: LOT AREA: F/A: WIIDT1i: DEPTH: R/W: (-0 # OF BUILDINGS: H OF DWELLINGS: WATER DISTRICT: Iaf4 2 OWNER: H ) �TJOLc) PHONE: MAILING ADDRESS: 34- / -I C `/&O4LO CITY/STATE/ZIP: SPOOK/CUE; CM2 -16 CONTACT: PONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: trrrwrrwrrwrw..rrr.wwrwrrrrrrrrrrrrrrwwwrwrww.......wwwwwrrwrrwrrrrrrrrrw:...-• CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORi;A1'i0:: PHONE: ARCIiITECT/ENGINEER: PONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: R HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LICK: CONTRACTOR: PLUIBINC INFORMATION MAILING ADDRESS: -tee,�S CI 1) 2. 4o yoYv 3_cv MECHANICAL INFORMATION CONTRACTOR LIC$ : _!S G /5. (7 L 7/ 6j _ $/23/899 CONTRACTOR: 17C>,±9 MAILING ADDRESS: ELECTRIC: GAS:\ OIL: ENERGY CODE: WSEC: CCAL: WOOD: SOLAR: HEAT PUMP NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: rrsrw**r**r*r***************r**r****r*r*******r*sssr***sssrrr*rrrrr*****xss i MECHANICAL FEES 'PLU?MING FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM td(VJDSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP(100,000)BTU GAS HTG EQUIP +100,000 GAS PIPING — OF UNITS HEATPUMP 1-100 BTU NUMBER OF. YES OR NO HEATPUMP HEATPUMP HEATPUMP HEATPUMP 101-500 BTU 501-1000 BTU 1001-1750 BTU +1751 BTU REFRIG 1-100 BTU REFRIG 101-500 BTU REFRIG 501-100 BTU REFRIG 101-1750 BTU REFRIG +1750 BTO 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 ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELEC1c<IC WATER HEATERS FLOOR DRAINS FLOOR SINKS .BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN