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1988, 12-08 Permit App: 88003941 Wood Stove
0 ?cJ, OO E YD'3 G' `v INFC,RMATION WORKSHEET PARCEL NUMBER: �y STREET ADDRESS: /= 7/7 2 No CITY/STATE/ZIP: /-rc n w/usA / l0/\ qc/2 1')._ SUBDIVISION: fa;Cosa./yldU#72t; t /rStf� 41/, /i j2 BLOCK. Z LOT: /2L, ZONE: DISTRICT: LOT AREA:/PN7X 6Sv F/A: WIDTH: # OF BUILDINGS: #II�OF DWELLINGS: OWNER: 77L01/os c(/1/70 -•l Lo^ki A ✓l hal MAILING ADDRESS: ,C -77Z6 -/I/nrCL (/ CITY/STATE/ZIP: DEPTH: R/W: WATER DISTRICT:: cS ✓� rRak_ PHONE: 09 - [ 7 - 7/ 7nArc n Was -Li /IMP-- 99 2_1 2 CONTACT: 7,--1/-7) / f,, 1" n PHONE: col - ! 2J SETBACKS: - FRONT: LEFT: PERMIT USE: s vC RIGHT: REAR: BUILDING INFORMATION C 7/? CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: MAILING ADDRESS: ti PHONE: ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: BUILDING DIMENSIONS: X REQUIRED PARKING: # HANDICAP: STORIES: (WIDTH X DEPTH) SQ. FT.: SEWER (Y/N): HYDRANT: Revised 1/88 CONTRACTOR LIC#: CONTRACTOR: PLUMBINGIlNYUKMATION 2J l MAILING ADDRESS: **************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: CCAL: ENERGY CODE: WSEC: r NWEC: WOOD: SOLAR: UTILITY: HEAT PUMP SGC: APPROACH: PRESCRIPTIVE: POINT:-- -COMPONENT: --SYSTEMS:_ *************************************************************************** MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT NUMBER OF YES OR NO GAS WATER HEATER GAS HTG EQUIP(100,000)BTU -7,0„2,0 GAS HTG EQUIP +100,000 0 GAS PIPING - # OF UNITS HEATPUMP 1-100 BTU HEATPUMP 101-500 BTU HEATPUMP 501-1000 BTU HEATPUMP 1001-1750 BTU HEATPUMP +1751 BTU REFRIG 1-100 BTU REFRIG 101-500 BTU REFRIG 501-100 BTU REFRIG 101-1750 BTU REFRIG +1750 BTU AIR CONDITIONER 0-3 HP AIR CONDITIONER 3-15 HP AIR CONDITIONER 15-30 HP 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 AIR HANDLER 10000 CFM -A- -89- ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN nir C9 C mil re) e 7 one Z nine' ,2 on' 2 onC erear-