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1989, 04-24 Permit App: 89000986 RemodelINFORMATION WORKSHEET PARCEL NUMBER: 43 « S 1 - / .vx706 STREET ADDRESS: ' 7( C CITY/STATE/ZIP: h074. SUBDIVISION: 1.CL (L)G- BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: 4 OF DWELLINGS: WATER DISTRICT: OWNER: 01:211r/ )4 77/61(47' PHONE: SDS (123RS MAILING ADDRESS: (V. 2'//'j tJ / CITY/STATE/ZIP: �j� c , 444 . Cq gad s' CONTACT: Ly) PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT-USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: f j`qL Or r 6c.J 7 CONTRACTOR: MAILING ADDRESS: ?(J4.' .% PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: X ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LIC#: PLUMBING INFORMATION CONTRACTOR: MAILING ADDRESS: *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: -bt i n of MAILING ADDRESS: ELECTRIC:'C GAS: OIL: CCAL: ENERGY CODE: WSEC: NWEC: APPROACH: PRESCRIPTIVE: WOOD: SOLAR: HEAT PUMP UTILITY: SGC: POINT: COMPONENT: SYSTEMS: *************************************************************************** MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT 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 NUMBER OF YES OR NO 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 2 022