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1988, 10-11 Permit App: 88003159 WoodstoveINFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: cc' CITY/STATE/ZIP: SUBDIVISION: BLOCK: _`s_- LOT: ZONE: DISTRICT: LOT AREA: F/A:� WIDTH: I". DEPTH: ) R/W: OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER : �/�%/L � - Q /� /� PHONE: MAILING ADDRESS: CITY/STATE/ZIP:L CONTACT: Z,�% PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: �xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxittrxxxxxxxxxxxxxxxxxxxxxxxxxxyrxxxxxxx�t�txxitxxxx rBUILDING INFORMATION COtviRACTOR LICENSE NUMBER: CONTRACTOR: \ PHONE: - MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMO 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: 2�) P/cq�,Se s6Ad pu fu wok Dv r'�e c4-lq /k/ -mf ©wll er(' CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: PLUMBING INFORMATION a MECHANICAL INFORMATION CONTRACTOR LIC# : z 2 -- -/ Z e /73�P� CONTRACTOR: L e 0 MAILING ADDRESS:- z-'-,- 9316 ELECTRIC: GAS: OIL: CCAL: WOOD : SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *xxxxxxxxxxxxxxxxx*xxxxxxxxxx*xxxxxxxx*xxxxx*xx*x*xx*x*xxxxxxxxxxxxitxxitxxxx MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION NUMBER OF ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO DUCTWORK SYSTEM TOILETS. WOODSTOVEJINSERT SINKS GAS WATER HEATER SHOWERS GAS HTG EQUIP(100,000)BTU BATH TUBS GAS HTG EQUIP +100,000 KITCHEN SINKS GAS PIPING - # OF UNITS DISHWASHERS HEATPUMP 1-100 BTU GARBAGE DISPOSAL HEATPUMP 101-500 BTU CLOTHES WASHER HEATPUMP 501-1000 BTU UTILITY SINKS HEATPUMP 1001-1750 BTU ELECTRIC WATER HEATERS H-EATPUMP +1751 BTU FLOOR DRAINS REFRIG 1-100 BTU FLOOR SINKS REFRIG 101-500 BTU BAR SINKS REFRIG 501-100 BTU ROOF DRAINS REFRIG 101-1750 BTU LAWN SPRINKLER REFRIG +1750 BTU SEWAGE EJECTOR AIR CONDITIONER 0-3 HP WATER SOFTENER AIR CONDITIONER 3-15 HP URINAL._:. AIR CONDITIONER 15-30 HP DRINKING FOUNTAIN AIR CONDITIONER 30-50 HP -. AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTHES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM