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1989, 12-05 Permit App: 89005058 Wood StovePARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: r I1:FOP:KATI ON WORKSHEET SUBDIVISION: - BIOCK: LOT: ZONE: DISTRICT: IAT AREA: F/A: WIDTH: DEPTH: OF BUILDINGS:- € OF DWELLINGS: OWNER : t1 Irv\ . %vaQT.1aa MAILING ADDRESS: - M Gs. CITY/STATE/ZIP: R/W: WATER DISTRICT: PHONE: c nC\ • CONTACT: PHONE: - SETBACKS: - FRONT: LEFT: RIGHT: REAR:- PERMI T USE:, I3UI LDING 11:F'Oitl•:ATION )N;'RACPOR I.ICF:NSE I:UN.BER: • CONTRACTOR:. - 1 PHONE: -_ -NAI I.) NG ADDRESS: : _ARCill TECT/-ENGINEER: : F2,1 ET NG AFORF_SS: - : PHONE: .. iaEW : REI-)ODELfi - ADDITION::^ CHANGE 'OF.,USE :=' I:WE1.L UNITS: CG:CUPANT IO1D: BUILDINGHGT:.. STORIES:": =PUILDli1G REQUI PED PARKING: 1 IHANDIC)'P:' (NIDTH.X DEPTH) SQ. FT::.: SF"„'F3Z-'(Y/N) :::: HYDRANT:- : i.. a,O a #d dize CC):2iP?,C'ii)R 1.ICi =-- —. COWTRAC7OR : MAILING ADDRESS: nth sssssissssss:sssss:tsstsssssssssssssstsstsssssssstss:tsssts:tsssssst CONTRACTOR LICJ: CONTRACTOR: MECHANICAL INFORMATION f Leo Com./7 oie FAt eo eg &v . d5NTffe, aC MAILING ADDRESS: E .737.6 Stas /10e ..:' lilsw4' 4i,9 __99,264==b ELECTRIC: GAS: OIL: CCAL: WOOD: SOIAR: ENERGY CODE: WSEC: NWEC: HEAT PUMP UTILITY: SGC: APPROACH:_ PRESCRIPTIVE:_ POINT:_ COMPONENT : SYSTEMS: _ 222222 tt2t222t 221222122 t t 2 t t 2222222221 t 2 t 2 t t t t t t t t tt ft tttt 2t t 12212 t t t 22 t t-_ MECHANICAL FEES .,rr "DESCHI )'TION NUMBI-_R OF D ESS1NG FEE C•iWC)RK SYSTEM D D:;'J OVE/I NSERT WATER BEATER H'1'G . EQUIP (100,000 )13'1'U ;Jilt •EQUIP +100,000. _ "PIPING - i OF: UNITS :';'PUMP 1-100 BTU ;TPUMP 101-500 13TU P.:a:L :1P:.501-1000 13'111.. i'_:i'U1•1P 1001-1750 BTU ':3 P111•iP '+3 751 BTU G 1-100 }17'U =1'3G 301-500 13711 ' •F3G 501-100 13'171 ' 'RIG 101-1750 MU i?3G 41750 I31U 2='_CONDITJONER 0-3 HP _' ?"CONDITION ER• 3-iSiiiP'iI CONDI 'BIONER! .15-30 HP- - ieCO:;DITIONER 30-50 HP i CO!:DITIONER +50 HP. _ TJ,'I'ING FANS >':.;?7IT1VE ODOLERS YES OR NO ;:' S DRYER L ,G .. 1:71:D CAS APPLIANCE ?'U151.1:R 1-10.'00 CI11 PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE 7OI LEIS SINKS SHOWERS 13A173 7'UI3S KITCHEN SINKS DISHWASHERS- - GA.P.BAGE- DISPOSAL ISIHWA_SHERS- GLRBAGE-DISPOSAL CII,YI'HFS WASHER UTILITY S] NKS >. ELECTRIC WATER HEATERS FLOOR DRAINS - NUMBER OF YES OR NO FIlDR SIN1:5 137,8 SINKS RODF DRAINS - 1J: 'N S1RIN}CLEJt SI,7. AGE EJECTOR WATER SOFTENER: - URINAL' DRINKING •'FOUNTAIN : ,t