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1987, 09-16 Permit App: 87002897 Insertr® #****4444444444********************##****a**************4aii**#44*****4444**4= * INFURNATICN wCRKSHEET g-7- 2gg7 * ##*************4*******i*********4******************44*44444#***240*444**44** a GENERAL INFGRMATICN * * * 4 * * * * * * * * * a * * * 4 * * PERMIT LSE: /1/25742_1( a)004 ( L Y7/4Sert __ 4 ******4x44444444.**4**44*444*4*4****4***********/**************************,*** PARCEL. NUM?EF : /-7 553 - 11-07 STREET ACCRESS: F• 1g02a4 /0/ Xor G-reen &eyes_ Lva . 90/% CITY/STATE/ZIP: suecivlsIcr : ..fifI�S VAcL.y View 5rU BLUCK:__ 4_ _ / LOT AREA: /0000 7 CF UWNER • 11z LOT: ZCNE: L S CIS1F1C14: F/A: hIOTN:l DEPTF: 136 R/4:_ Z% eLCGS: a Q G -o et Z MAIL INC ADDRESS :__ ,&' /907a4 CITY/STATE/ZIP: * CF DWELLINGS: FHCNE:SO /0/ Xon r eenaeres , /4Ja . 9901‘, CONT ALT : iCa/t_ N'-a2LL.r- ;00h4740c Art /'aP2. SETBACKS - FRCNT LEFT RIGHT FEAR 4 * 4 * 4 * 4 i * 4 FHCNE:SO9--43-/o/Z * * 444444444***444444444444444444444444444**44***4a**********0**4444**0********4* * PLUNeING INFCRMATION * * CONTR LICU: 4 * * * CONTRACTCR: PFCNE:____ — * i * * MAILING AOCFESS: * * * ***4#*4444444444*444*****0**000*****4********#*****4*****440***0*******4****** * MECHANICAL INFORMATION * * CONTR LIC4: eeJ0001/J.L f- /341 ea * * CONTRACTOR: (0OOd a- GCJC ttt /4CPHCNE _ 2_S'3-10/7 * * * * MAIL1NG AC/CRESS: 4). aaa8 a)n3-c,0 3pok2Kc, Ma. 99°96)7 * * 4 * ELECTRIC:__ GAS:__ CIL:_CCAL:__ W00D: SCLAR:___ FEAT FUMP:_* * * 44**********4444*444*************************t0********i*4****#*44******4444*** **********#***************** I*********44*########***** **** *****############ : MECHANICAL FEES PLUMBING FEES 1 ITEM DESCRIPTIGN PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/INSERT GAS WATER HEATER GAS IITG EQUIP<10C,000>BTU GAS hTG EQUIP+100,000 BTU GAS PIPING - # OF UNITS HEATPUNP 1-100M eTU HEATPUMP 101-500M BTU HEATPUMP 501-1,000M BTU HEATPUMP 1,001-1750M BTU HEATPUMP +1,750M BTU REFRIG 1-100M BTU REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REI -RIG +1,750M BTU AIR CONDITIONER 0-3 HP AIR CONGITICNER 3-15 hP AIR CCNDITICNER 15-3C HP AIR CCNC IT ICIER 30-50 HP AIR CONDITI-GNER +50 HP VENTILATING FANS EVAPORATIVE CCQLERS HOODS CLOTFES 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 QISH 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 NG