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1987, 07-16 Permit App: 87002203 Remodel_)tx.V\ 1 AaSc:rav-c c -74°0 **4**Ti-'**44*4*444*4*****4*4****44***********************4 4444**44#**444,* 4444*t * INFORMATICK WCRKSHEET * ***4**#*4*4**#4*********44****#44*********4**44*****4*4444' *444,4*4*4****4****** * GENERAL INFORPATICI\ * PARCEL N;UMBEF-: t5�j4 * STREET AC CRESS:---J3.2__LL M cD2n21d �i * coq # * CITY/STATE/ZIP: SP°tA'^)t_ _WA- I !a/4, n * * SUBCIVISIGN: 0PP62 I�►Id * * * * BLOCK:______ LOT: ZONE:__ _ CISIPICT #: • K * LOT AREA:_______ F/A: WICTH:DEPTH: R/4: * 4 * * # CF r CGS:_ - CF DWELLINGS: * • OWNER: f �`/ernFt S-le_e �itet Z FHCNE:5'U(3- P -7-_029S* * * MAILING ADDRESS: See r43o0e * * * * CITY/STATE/ZIP: Gat,- 236vc * * * CONTACT: FHCKE: - - 4 * * SETBACKS - FR-CNTGo�� LEFT _ f 'RIGHT 5 .FEAR _770 BQJ44�n-` .y..Vt4) oN. l�—1 LA ,L.c.� 4O1S.'1 fl 2- - *' PERMIT LSE: !-_emoc1eI -i-Wo eXiS1-lw-o, f_4 * *4*******444t44#4**44*44't4**4#***44*4********a _ *4*******4'**44**4**#******#44444 Bi- ILEIKG INFCRMATICN * * CONTR LICK:__ _—_N_%? --___ ____--- * * C n * CONTRACTCR:___a e-1 PFCNE:____--_— * — * * MAILING AGGRESS:_ S-LCf✓/-e.- * * ;� * * APCH/ ENG :Ron rnC COYWYTOAd FI -CNE: - - * fl i" 2.--JlGCGY T 7 7 )-7 l ertil__Qe * * MAILING ADCRESS: 4' * * V/'4 * NEW: REMODEL: PDDITIONI__ CHANGE CF USE:1-Wcp g,“5761-1.1 'i“5tn?jec7 arDS * * DWELL UNITS: OCCUPANT LGAC:____ DUILDING HGT:_r3_ STORIES:" * * BUILCING DIMENSICNS: 55. X aa-- (WIDTH X DEPTH) SCIARE FEET: _Q * * REQUIRED PARKING:'% 71HANDICAP:_14& SE ER (Y/A): ) HYDRANT (Y/N): * *#**************************************************************************** 4444**4444t*satt#4tt**##444444*t#**s*att4art##t#t***t#tt#tt#t*t#*t*#t***#***tt * ' PLUPBING INFORMATION * * CONTR LIC#_:____ Ar 4 * * .CONTRACTCR:___S. PFCNE:—___ —_ * r t * MAILING ACCFESS: Stkm-fL— # * # #######4t44444t4#444****#444#4*4***#**4##4***##4*********4*#**##*****####***** # MECFANICAL INFORMATICN z # CONTR LIC4: - # * * CONTFACTGR: S Qj _ FFCNE:-----____-- * * MAILING ACCRESS: `92__C'1?2-'C t * t * ELECTRIC:___ GAS:___ CIL:___ COAL:__ 6CGD:___ SCLAR:___ FEAT FUNP:___ 4 * ES-(5tim * 4**4**44444444444444#a#*#t4*c#t##4#t.**}*******#**t*4#44#44444444444#**tet*4**4 #*************************************************************************.*******, MECHANICAL 'FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/INSERT GAS WATER HEATER . GAS HTC, EQUIPCIOC,000>BTU GAS HTG EQUIP+100,000 BTU GAS PIPING — # OF UNITS HEATPUMP 1-100M ETU HEATPUMP 101-500r 8TU HEATPUMP 501-1,000M BTU HEATPUMP 1,001-1750M BTU HEATPUMP +1,750M BTU REFRIG 1-100M BTU REFRIG 101—SOOM BTU REFRIG 501-1,000M BTU kEFRIG 1,001-1,150M BTU REFRIG +1,150M BTU AIR CONDITIONER 0-3 HP AIR CONDITIONER 3-15 HP AIR CONDITIONER 15-3C HP AIR. CONDITIONER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTFES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANDLER 10000+ CFM NLMBER CF YES OR NG PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GARBAGE DISPCSAL CLOTHES WASHER UTILITY SINKS ELECTRIC LATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF CRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URNAL DRINKING FOUNT.IAN NUMBER OF YES OR NG I' 2 L , _t � � 1 -1 l L J I -t 1 I V+ _J_ Z 0 -y 1 1r I J it OA __1_, .--rI -±---1 ; r r O� 1 1 r ---- M CPO 3 A L 12 r-0AC) , f-