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1987, 09-16 Permit App: 87002896 Insert
* INFURPATICN WCRKSHEET ***4***********#***_***********L*********************=3***LL*****s****L***fl** * GENERAL INFORMATICN * * PARCEI. r.UPI EF: * p * STREET ACNE SS: E. Poo9 X.)ora Ave.O* * * 4 CITY/ST:TE/LIP: 5»0ka.-sc-Q_ 1 a.. 49902/a * bS4 nRic * * SUN: S�T/I * * t * BLUICK:______LUT: 1CNE:AS CISIFICTA: ` * * * LOT AREA :42000 F/A: h10TH:UEPTF: RR,:* * * a CF/eLCGS: x Cf DWELLINGS: * 4 UWNER: /'/G�-/pn1A /3Z/)710/1 Fr-:SO�- 9r�4/-p��, * CNEE. Poo9 �Oora_ Ave = * MAIL ADDRESS -- * * * CITY/STATE/11R:___3,0412-41--C. Loa • 9/9a/a * 44 * CONTALT : Leak. ,44- _e_t_e '- Qk tiu- K./e de -C- FHCNE :L501- 1/7,5- /OC 4 b-7 5/i8 - I / OZ- * * * * * SETCACKS - FRCNT LEFT RIGHT FEAR PERMIT LSF: /451a.N GOtZd hart') 014, //1-S?rt ********L*4$4444******#**4-3****#**L*********** *************************3c** * PLUMBING INFCRMATION * * CONTR LICA: * * * * CONTRACTCR: PFCNE:____ ___ - * * 4 * MAILING ACCFESS: * * * * MECFANICAL INFORMATION * * CON TR LICA : 0.) 004A)..r_/3 fie 6 * * CONTRACTOR: (00 f` ala -&>u L 9 e, P1 CNE :SD9-1/P3_/O/7 * MAILING ADCRESS: Al aaaJ�-t �a ' 0%0;5Co,fp0/cia c O}O. Q9a i97 * * ELECTRIC:__ GAS:__ CIL:_. COAL:__ WOOD:_ K SCLAR:___ I -EAT FUMP:__ * * ****************************************************************************** MECHANICAL;.FEES,,,.,.,.,yE.,,,. PLUMBING FEES ITEM DESCRIPTION ALMBER,CF,;•.,.,l.-,, ITEM DESCRIPTION PROCESSING FEE YES OR NG DUCTWORK SYSTEM wOCCSTCVE/IASERT GAS WATER HEATER GAS HTG EOUIP<10C,000>BTU GAS hTG EOUIP+100,000 BTU GAS PIPING - # OF UNITS HEATPUMP 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 kEFRIG 1,001-1,750M BTU REFAIG ♦1,150M BTU ___ AIR CONDITIONER 0-3 HP AIR CONDITICNER 3-15 HP AIR CONDITICNER 15-3C HP AI P. CCNGITICNER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE CCOLERS HOODS CLOT} -ES DRYER RANGE GAS LOG - UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM"- AIR FM"'AIR HANDLER 10000♦ CFM PROCESSING FEE TOILETS. SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS. GARBAGE DISPCSAL ;CLOTHES WASHER UTILITY SINKS ELECTRIC MATER HEATERS FLOOR GRAINS FLOCP SINKS BAR SINKS ROOF -DRAINS - - -- LAWN SPRINKLER, SEWAGE EJECTOR WATER SOFTENER URNAL DRINKING FOUNTIAN NUMBER OF YES OR NG