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1987, 09-25 Permit App: 87003188 Pellet Stove******X-.**t-Y******Y********-k********************** **k,k******4**4************* INFURMATICF WCRKSHEET *****************Y*-***********************************:4#********s************ * GENERAL INFGRNATICN * * PARCEL t'UMF EF : * * * STREET ACCRES: * * * CITY/STATE/ZIP: • SueC Iv I S ICN : r -( F714 E ' - (L.Yr * HLOCK:_____ LOT:___ ___ ZCnE:___ CIS1RICT4:_______ * LOT AREA:_______ F/a: hICTN:(1tPTF-: * 4 CF eLCCb: n CF !)WELLING.: GL1h6L— FF -CNE: * * j * MAILING ADDRESS * CITY/STATE/Z IP : eS2P5,V1A/C E% 99a4 * a CONTACT: FH[nE: a * SETPACKS — FRCNT LEFT RIGHT REAR PERMIT LSE: �i`A 5'a�y%/Q ✓ A y y �l y y y{ y y y y y y y� ic* * * * * * * * * * * * # * * T * * * * * * * * 4 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ' * * * 4 * * * * * * * * * * * * ♦ * * * * * * * * * * 4 4 * 4 4 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * k PLUMPING IPFCRMATION * CONTR LIC#: * * CONTRACTCR: PF -CNE: * MAILING ACCFESS: * 141**********4444*s*z*****44*****4**************************************z****** MECF-ANICAL INFORMATION * * * CONTRACTGR: FF -CNE: — — * * MAILING ADCRESS: * ELECTRIC:_ GAS:,_ CIL:_COAL:_ hCOD:_ SCLAR:___ FEAT FUMP:_. * * ***********410*****************************#**************************4****** CONTR LIC#: **************** *********************************#******************#r*XF********: MECHANICAL FEES PLUMBING FEES IIEm OESCRIPTION PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/INSERT GAS WATER HEATER GAS HTG EQUIP<10C,000>BTU GAS hTG EQUIP+100,000 BTU GAS PIPING - N OF'UNITS HEATPUNP 1-100M ETU HEATPUMP 101-500N BTU HEATPUMP 501-1,000M BTU HEATPUMP 1,001-1750N 8TU HEATPUMP +1,750M BTU REFRIG 1-100M BTU REFRIG 101-500M BTU REFRIG 501-1,000M BTU kEFRIG 1,001-1,750M BTU REI -RIG +1,750M BTU AIR CONDITIONER 0-3 HP AIR CONC IT ICNER 3-15 hP AIR CCNDITICNER 15-3C HP AIR CCNDITICNER 30-50 HP AIR CONDITFCNER +50 HP VENTILATING FANS EVAPORATIVE CCOLERS HOODS CLOTF-ES 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 DISH WASHERS GARBAGE OISPCSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOCK SINKS BAR SINKS ROOF CRAINS LAWN SPRINKLER SEWAGE EJECTCR WATER SOFTENER UR NAL DRINKING FOUNTIAN NUMBER OF YES OR NC