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1988, 10-31 Permit App: 88003494 Pellet StoveINFORMATION WORKSHEET PARCEL NUMBER: ?S &'/S "' 2503 3144, �.o STREET ADDRESS: �o. />`-� / CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: t OF BUILDINGS: g OF DWELLINGS: WATER DISTRICT: OWNER: ems MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: X569 - -54- 7/ SETBACKS: - FRONT: PERMIT USE: CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: LEFT: RIGHT: REAR: C I! d�C2(2f2i£ ' / �! 1_z BUILDING INFORMATION MAILING ADDRESS: PHONE: ARCHITECT/ENGINEER:` PHONE : MAILING ADDRESS: NEW: REMODEL;- ADDITION: CHANGE OF USE: DWELL UNITS: .€VCUPANT LOAD: BUILDING HGT: STORIES: BUILDING D SIONS: X (WIDTH X DEPTH) SQ. FT.: , REQUIRED PARKING: t HANDICAP: SEWER (Y/N): HYDRANT: >4.5kAzaz./ c)4.4er.;e:',/ ,a4i9 CONTRACTOR LIC*: CONTRACTOR: MAILING ADDRESS: PLUMBING. INFQRMATION, i *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LICE : -17-7/..„ C O 6C ! 73 CONTRACTOR: F7:- C. CG C / ;7 k...6 - e /1/ ?Irk , MAILING ADDRESS: R/r (-0 e < rJ-Jiv (7C/f7 , ELECTRIC: GAS: OIL: ENERGY CODE: WSEC: t CCAL: WOOD: SOLAR: HEAT PUMP NWEC: UTILITY: SGC: APPROACH PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: ************************************************************************** MECHANICAL FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP(100,000)BTU GAS HTG EQUIP +100,000 GAS PIPING -.1 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 iOODS 'TAMES DRYER NGE S LOG :;LISTED GAS APPLIANCE IR HANDLER 1-10000 CFM NUMBER OF YES OR NO PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE 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 NUMBER OF YES. OR NO