Loading...
1989, 07-19 Permit App: 89002305 Fireplace InsertF1-.I.CEL NUMBER: IN FOTIOti WORKSHEET STREET ADDRESS : CITY/STATE/ZIP: _4 /_46?_} L i4/J 9&Z SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: IAT ARE: F/A: WIDTH: DEPTH: R/W: r OF BUILDINGS: f OF DWELLINGS: _ WATER DISTRICT: O'NER: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: SE'T'BACKS: — FRONT: 'EMIT USE: Pi1ONE: eJ &(-79.e.-) PHONE: LEFT: RIGHT: r s 7 f f}** 1 x 1 f R 1 1 1 t 1 f S 1 1********** 1 1 1 1 1, 1 1 1 i f 1, 1 1* 1 1**** 1 1* 1**** 1. * 1 1****** 1* 1 2 BUILDING INFORMATION CON'."RACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: : PHONE: _ NEW: REMODEL: • 1' ION: C11/ - - E OF USE: DWELL UNI`T'S: OCCU• * LOAD: £BUILDING IIGT: LUILDING DIME) ONS: X (WIDTH X DEPTH) SQ. FT.: STORIES: REQUIRED PART' TNG : t HANDICAP: SEWER (Y/N) : 7 . HYDRANT: CONiT'} CiyR LIC COh"IR.AC OR t`.AZLING ADDRESS: _************************************************************************ MECHANICAL I NFORMA.TI ON CONTRACTOR LIC # : f 1i 4 �Q C_ J 7J f�L� CONTRACTOR: • MAILING ADDRESS: ELECTRIC: GAS: OIL: E-;ERGY CODE: WSEC: /-e//e74 CCAL: -W'06D : /j SOLAR: HEAT PUMP NWEC: APPROACH PRESCRIPTIVE: MECHANICAL FEES TEM DESCRIPTION NUMBER OF ROCESSING FEE '.ICTWOZK SYSTEM -- OWE/ INSERT/"e//'/ WATER HEATER HTG EQUIP(100,000)BTU S HTG EQUIP +100,000 S PIPING - t OF UNITS i:ATPUMP 1-100 BTU ?1TPUMP 101-500 BTU :A1'PUMP 501 -1000 -BTU _ATRUMP 1001-1750 BTU _IAT 'UMP +1751 BTU ':FRIG 1-100 BTU :FRIG 101-500 BTU :FRIG 501-100 BTU 101-1750 BTU +1750 BTU R CONDITIONER 0-3 HP E COND1.TIONER 3-15 HP :R CONDITIONER 15-30 HP r CONDITIONER 30-50 RP CONDITIONER +50 HP :.::'I'IIJ,TING FANS - ` J OP11TI VE COOLERS ES Di:'i ER :TED c'J.S A PLIANCE RAN!) .hR 1-10000 CFM YES OR NO UT I L I TY : POINT: COI,IPONKNT SGC: SYSTEMS:__ PLUMBING FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO TOILETS SINKS SHaWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER U`I'I LITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FIJD3R SINKS — I3AR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER E_R URINAL DRINKING FOUNTA I N