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1988, 07-13 Permit App: 88001950 Wood Stove�! . INFORMATION WORKSHEET PARCEL NUMBER: e'65'f4 - e`/3,'rte STREET ADDRESS: f / J / & 'git auv CITY/STATE/ZIP: C; gllyi � oz," SUBDIVISION: arts a t LC BLOCK: I2- LAT: ' ZONE: DISTRI("1: LOT AREA :4 /ttYJ F/A: WIDTH: 76 DEPTH: /IA R/W: # OF BUI.LDINQj: OWNER: # OF DWELLINGS: WATER DISTRICT: MAILING ADDRESS: 4 1:1-C/2 `%�% r''x CITY/STATE/ZIP: r CONTACT: Y D:%y2tin PHONE: P/.c'?4. PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************z*************** CONTRACTOR, faCENSF: NUMBER: 77 BUILDING INFORMATION CONTRACTOR : 11 MAILING AI)DRES:i: E ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: PITON E : DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LIC#: CONTRACTOR: PLUMBING INFORMATION MAILING ADDRESS: ********r * ************************************************************a** MECHANICAL. INFORMATION CONTRACTOR LI:C'#: CONTRACTOR: .77 ��� • ,se ed - 2 y/ MAILING ADDRESS: ELECTRIC: GAS: OIL: ENERGY CODE: WSEC: CCAL: WOOD: SOLAR: HEAT PUMP NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *************************************************************************** N1EC:IIANICAL FEES PLUMBING 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 — # OF UNITS I11'sATPUMP 1-100 BTU HEATPUMV 101-500 BTU 14EATPUM1? 501-1000 BTU HEATPUMP 1001-1750 BTU HEA'CPOMP .1.17:51 BTU REFRIG 1-100 BTU REFI.Z:CG 101-500 BTU REFR:I:G 501-100 BTU REFR:CG 101-1750 BTU R1EFICCG +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 CLCYPHES DRYER RANGE 'GAS LOG UNLISTED GAS APPLIANCE ATR FTANfi.Rn 1 —i nnnn (-cm NUMBER OF YES OR NO ITEM DESCRIPTION PROCESSING FEE TOILE'L'S SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY. SINKS ELECTRIC WATER I$EATERS FLOOR DRAINS FLOOR SINKS }JAR SINKS ROOF DRAINS LAWN SP'I.ZINKL,EP SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBER OF YES OR NO