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1987, 10-13 Permit App: 87003452 Garage* INFORMATION WORKSHEET ************************************************************************* * * PARCEL NUMBER: 6 7543 ^ d cc„ 'O * STREET ADDRESS: --- 7S) C M 1 S S 1 o N * r' * CITY/STATE/ZIP: S t'O n A �U C (/v A c i o2 I * SUBDIVISION: * * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: * OWNER: J A ti s _ 7- A G PHONE: -q•21-51_1_4 * MAILING ADDRESS: J A M( 5 T 7-A r— * E -g• ►"tSto * CITY/STATE/ZIP: S P o t# qN ' A Q A.l 2 - • CONTACT: CONTACT: PHONE: - - * SETBACKS - FRONT: LEFT: RIGHT: REAR: PERMIT USE: G A /2 A G L ************************************************************************* * BUILDING INFORMATION * * * * * * CONTRACTOR LICENSE NO.: * * * * CONTRACTOR: PHONE: - - * * * * MAILING ADDRESS: * * * * ARCHITECT/ENGINEER: PHONE: - * * * * 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: * HANDICAP: SEWER: (Y/N) : HYDRANT: * ************************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Y * * * * * * * * * * * * * * 1 1 * * * * t Y 4 * 4 * * * * * * * t * v v * t c * * Y * 4 = * * * NCnILE FCNE INFCRNATICN * CONTR LIC#: * * CONTRACTOR: PHCNE: — - * * MAILING AGGRESS: * PREVICLS ADDRESS: * * * LOCATION: PARCEL NLNEER: * STREET: * CITY/STATE/ZIP:_ * Y * MAKE:----- tdCDE L =--- '` * * * SEPIALh: HIDTt:::LENCTF:____ * Y ********x**x*ttt*ttxx*xt***********************************#****************** * RELCCATICN INFCRPATICN * CONTR LICP: * CONTRACTOR:____ * * MAILING AJCREcS: * * PREVIOUS ACDPESS: * * * LLCAT ICN: * SIREET: * t * CITY/STATE/ZIP: * J t o a t y. y y y y y y y A y y y/ y y y y y a ii. y * * * * * * Y * 4. Y * ; t x t t 4 t x 4 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SIGN INFCRNATICN * CONTR LICK: * * * CONTRACTOR:FFCNE:____— — $ * * MAILING ADDRESS: * * * SQUARE FOOTAGE:_____ POLE FEIGHT:_______ * * * * FFCNE=---- --- PARCEL NUMBER: J. ***************s*************************************************##*********** * DENCLITICN INFCRNATICN * * CONTR LICI: * * * * CONTRACTOR: FHCNE: — — * * * MAILING ADDRESS: * * * * BUILCING SCIiARE FOCTACE: * 4 NUMBER CF BUILCINGS: ****************************************************************************** ####*4*#**`*###*###**########*#*********7********#**************#************ PLUNBINC II\FCRMATION • CONTR LIC4: * * CONTRACTCR: PFCNE:____—__— * NAILING ACCPESS: * * * * * * ##*#**##x###t###*###*****###*#*#*********4************#**#****##*******#****** * MEI.FANICAL INFCRMATICN * CONTR LICA: * * * CO+NTRACTGR: PFCNE: — — * * a * * MAILING ACCFESS: * # * ELECTRIC:__ GAS:___ CIL:___ CCAL:_tCGD:SCLAR:___ FEAT FUNP:___ # * * 4*4#*4-444*#4#######-#**#**************************#**X#X###Y#####**#t###**qtr ********************************************************************************3 MECHANICAL FEES PLUMBING FEES ITEM OESCRIPTICN PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/INS.ERT GAS WATER HEATER GAS HTG EQUIP<10C,000>BTU GAS hTG EQUIP+100,000 BTU GAS PIPING — # OF UNITS IiEATPUMP 1-100M ETU HEA TPUMP HE ATPUMP HEATPUMP HEATP'JMP REFRIG REFR IG REFRIG kEFRIG 101-500N BTU 501-1,000M 8TU 1,001-1750M BTU +1,750M BTU 1-100M BTU 101-500M BTU 501-1,000M BTU 1,001-1,750M BTU REHRIG +1,750M BTU AIR CONDITIONER 0-3 NP AIR CONGITICNER 3-15 hP AIR CCNDITICNER 15-3C HP A I P. CCNC.IT ICNER 30-50 HP AIR CONDI TI-GNER +50 HP VENTILATING FANS EVAPORATIVE CCQIERS HOODS CLOTHES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10006 CFM AIR HANDLER 10000+ CFM NUMBER CF YES OR NG ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GARBAGE OISPCSAL CLOTHES WASHER UTILITY SINKS ELECTRIC LATER HEATERS FLOOR DRAINS FLOCK SINKS BAR SINKS ROOF CRAINS LAWN SPRINKLER SEWAGE EJECTCR WATER SOFTENER URNAL DRINKING FOUNTIAN NUMBER OF YES OR NC • 11111111111111111111111 1111111111111111111111111111 IMINIENIMEMEIMI REIMMIUMEIMINE IMMIIIIMEMMENE 1111111111111MIMMEMI 11111111111111111111111111111111111111111111111 1111111111111111111111111111111111111111111 1111111111111111111111111111111111111111 IIIIMIN11111111111111111111111111111 uuauiaiaiaaiiva IIIIIIMMIIIIIIIHIIAIIIIMIIUI 111111111111111111111111111111111111111111111 111111111111111111111111111111111111•1111111 M1111111111111111111111111111111111111 iummismummsomumummummummaa • 111111111111=1111111111111=111111111111111111111MIIIM 1 11111111111111111111111111111111111111111111111 111111111111111 111111111MEMMEIMIIIIIMININIMMINIIIMI • 111111111111=111111111111011111111111111 • 1111 IIIr11IM1l_•1_11 1111111111 1111 IU 1 1 t11>‘‘ a rt 4 L L L