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1987, 08-11 Permit App: 87002574 Reroof************************************************************************* * INFORMATION WORKSHEET * ************************************************************************* * * * p * PARCEL NUMBER: C 855' 5 2. /025 * * * STREET ADDRESS : L. ' % 172 y mo.,,, 47,7 e, y * * CITY/STATE/ZIP: V bS 9rc,1u-✓cl W/+ qTO 2 7 * * SUBDIVISION: 842tcE--%z Ira D Pent3 / LC. 14 at l * * * * BLOCK: q LOT :_e_ ZONE: Ri414 DISTRICT: * * * LOT AREA: F/A: WIDTH :3E DEPTH: / 'X R/W: too * * * * # OF BUILDINGS: # OF DWELLINGS: * * 1• 75-8/7* * OWNER: 1?(.. CI ci 1 ‘// k5 CZ PHONE: S0 16 - 77 * * 1 * * MAILING ADDRESS: Ei / �Z. 7in-Q- i,,,„ ? * * * * CITY/STATE/ZIP: (9f; S 0rda„ , /,./t' q1 a 2 % * * * * CONTACT: PHONE: - - * * * SETBACKS - FRONT: LEFT: RIGHT: REAR: * * * PERMIT USE: -"PwF TSS * * * ************************************************************************* BUILDING INFORMATION € * CONTRACTOR LICENSE NO.: 511- R 6 Ili 7 1 . 2— : CONTRACTOR:6�a V101,7 S& 14 a-,/ * MAILING ADDRESS: E. / 5' 70 2. C. GJ.Q,& s(e7 * ARCHITECT/ENGINEER: A/0 PHONE: * * MAILING ADDRESS: * * NEW: REMODEL: 1< ADDITION: CHANGE OF USE: * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: PHONE:So, 92e- 3270 * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) * SQ. FT. *REGUIRED PARKING: f HANDICAP: SEWER:(Y/N): HYDRANT: ************************************************************************* *********************#*****M4*C*********#*#44***444-4.4#************ **?Fek* ** NG'ILE FCNE INFCRNATICN * CONTR * # * CONTRACTOR: PHCNE: * * * MAILING ACCRESS: * * * PREVICLS ADDRESS: * * * LOCATION: PARCEL NLNEEP : * * STREET: * CITY/STATE/ZIP:_ * * * MAKE: NCDEL: * * SEPIALk: HIDTF::LENGTF:____ *+ y �yy y/ J yy y yy { y y / y / y y y y y yy yy y �Y y yyy y Yy 4 * * * T * * Y 4 Y Y * 4 4 4 4 * 4 4 4 1 4 * 4 4 T * * * # * # * * * * * * * * * * 4 # * * * * * * * * * * * * * * T # # # * * * * # * c * * * * Y * *^ * * * RELCCATICN INFCRN.TICN * * CONTP LIC!:___-____ * * * CONTRACTOR: * * * MAILING A i) O R E S S` : __-- * * PREVIOUS ACDPESS: * * * * LCCAT ICN:____ PARCEL NUNEER: * Y * STREET: * * CITY/STATE/ZIP : FFCNE:____--------- * * ********4**:3tX4t*Ii#4************************************#********************# * SIGN INFCRNATICN * CONTR LIC4: * * * CONTRACTOR: FFCNE:____- - * * * * MAILING ADDRESS: _ * * * * SQUARE FOOTAGE:__-___ POLE FEIGHT:___ * * * * ***************s***************s**********************************#**********# * DEMCLITICN INFCRNATICN 4 CONTR LICH: * * * CONTRACTOR: FNCNE: * # * MAILING ADDRESS: * * * BUILCING SQUARE FOCTACE: * NUMBER CF BUILDINGS: * * * ****************************************************************************#* ####*****#*#*#######*#**##*###*##******#*2#***#*******##**#******************* * PLUNEINC INFCRMATION # CONTR LIC4: * * * * CONTRACTCR : PF -CNE :____-___- * # * * MAILING ACCFESS: * * 2 #**#*4##X###%444*#K#*****##**##4**********************#**#****##*******4****** # MECF-AN'ICAL INFCRMATICN * CONTR LICA: 4 # * * CONTRACTOR: FF -CNE: - - * * * * MAILING ACCFESS: * * * ELECTRIC:__ (AS:___ CIL:___ CCAI:_WGGD:SCLAR:___ FEAT FUNP:___ * * * *###****##*##########*****#***************************#*z#*tx*#x####*##*#*#*** ***********************************s***#***************************************3 MECHANICAL FEES PLUMBING FEES 1 TE,.'1 DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/ IPSERT GAS WATER HEATER GAS HTG EQUIP<10C,000>BTU t,AS hTG EQUIP+100,000 BTU GAS PIPING — # OF UNITS NEATPUNP 1-1008 ETU HEATPUMP 101-500N BTU HEATPUMP 501-1,0008 BTU HEATPUMP 1,001-1750N BTU HEATPUMP +1,750M BTU REFRIG 1-100M BTU REFRIG 101-5008 BTU REFRIG 501-1,0008 BTU 1EFRIG 1,001-1,7508 BTU REFRIG +1,750M BTU AIR CONDITIONER 0-3 HP AIR CONDITICNER 3-15 hP AIR CONDI TICNER 15-3C HP AIP. CCNC-ITIC{*ER 30-50 HP AIR CONDI TI-CNER 450 HP VENTILATING FANS EVAPORATIVE CCOLERS HOODS CLOTF-ES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE. AIR HANDLER 1-10000 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 WATER HEATERS FLOOR DRAINS FLOCK SINKS BAR SINKS ROOF CRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URNAL DRINKING FOUNTIAN NUMBER OF' YES OR NC