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1990, 10-26 Permit App: 90005716 Pellet Stove
'ARCEL NUMBER: ;TREET ADDRESS: 'ITY/STATE/ZIP: INFORMAT' ON WORKSHEET SUBDIVISION: BIOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: OF BUILDINGS: YWN ER : • t OF DWELLINGS: WATER DISTRICT: PHONE: J6q - -1R9,,, - IAILING ADDRESS: :ITY/STATE/ZIP: :ONTACT: SETBACKS: — FRONT: 'ERMIT USE: LEFT: PHONE: RIGHT: PEAR : ft * * * * K * * 1 * * f * * X * fc Y x * * 4 4 4 * * * * * * x * s *-* * * * * * * * * * * * * * * * * * * * * ******************% BUILDING INFORMATION 'ONTR CTOR LICENSE NUMBER: 'ON'i'RAC OR: SAI LI NG ADDRESS : PHONE : 4CH I TECT /ENGINEER.: TAILING ADDRESS: NEW: REMODEL: ADDITION: - ' CHANGE OF USE: PHONE: :WELL UNITS: OCCUPANT LOAD: BUILDING BGT: STORIES:' WILDING DIMENSIONS: OEQUIRED PARK ING: x HANDICAP: (WIDTH X DEPTH) SQ. FT.: SETTER (Y/Pi) : ` HYDRANT: `4FFe2ParJ J4ewa!,/ CON'1'ItAC'POR I,1 C: t CONTRACTOR : MAILING ADDRFSS: ************************************************************************* MECHANICAL INFORMATION CONTRACTOR LIC # : P4Z___,Coge.. 7J.Dee CONTRACTOR : F/.194 C �7 4 Pt C/72 -- -/ e. - MAILING ADDRESS: £ 9SJo.Si°/PmpJ �e. r�04,%Y 429. -pg -zee; p ELEC'T'RIC: GAS: OIL: ENERGY CODE: WSEC: CCAL: WOOD: SOLAR: HEAT PUMP NivEC : UTILITY: SGC: APPROACH:- PRESCRIPTIVE: POINT:-- COMPONENT:__ SYSTEMS: -- kxyxxx**********x*********x******xx*********x****************W*x******** I1F CIIANICAL FEES CEM I)ESCRIP'I'ION 20CESSING FEE 1C'rw )RK SYSTEM i -)I)S7OVE/IN ;}•:}ZT WATER HEATER H'1'G EQU i P (100 , 000 ) BTU '.S HTG EQUIP +100,000 ;S PIPING - € OF UNITS -:A"1'PUMP :A'1'PUMP A'1'I'UMP :A'I' P U 1'I P J 'I'PUMP 1-100 I3TU 101-500 BTU 501-1000 BTU 1001-1750 BTU +1751 BTU :FRIG 1--100 BTU :FRIG 101-500 13.1•U 501-100 BTU }"•h1 G 101-1750 BTU } P1G 11750 BTU ? R CONDITIONER 0-3 IIP R CONDITIONER 3-15 HP IR CONDITIONER 15-30 HP IR CONDITIONER 30-50 HP IR CONDITIONER +50 IIP :!+TI LA'Z'ING FANS JAPORATIVE COOLERS `JJIiiEs DRYER r.N t ; E kS I!)G '1.1':;'1'I -D GAS APPLIANCE 1 R P7 /M ,I•:IZ 1-10000 CFM NUMBER OF YES OR NO PLUMBING FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO TOILETS SINKS SHOWERS BATH 7 JIBS }CI TCH EN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS PI,OOR SINES 13AR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WA'T'ER SOFTENER URINAL DRINKING FOUNTAIN