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1987, 09-03 Permit App: 87002893 Furnace*********T T* ** 4** * Y *** YAM *#****Y **#*** *** # ********** *T*** T Y Y * * **** *****4 4 ** T*** * INFURNATICN wCRKSHEET * ******=********44***-4*********************************************s********#*** * GENERAL INFORNATICN * PARCEL NUMBEP : * STREET ACCRESS:____.Z�6___.62 * CITY /STATE /ZIP : __ 2� - �---'RC1-`Z'11_ SUBC Iv I S ICN : * # BLOCK:__ LOT: LCNE:__�_ CISTPICT#:_______ * * LOT AREA: F/A: * * * [WNER: * * * * CONTACT:_ * * * 4 CF ?LCGS: MAIL ING ADDRESS : /v? �g CITY/STATE/ZIP:_ DTH: DEPTH: ROA: CF DWELLINGS: FHCNE:, D4-, 2 - all* (4;‘--,_4.,.7 ik& n F H C N E : orf-�s� � -i/91tr * REAR E: * SETEACKS - FRCNT PERMIT L S LEFT RIGHT * * * * * * * * * * * * * * * * * * *' Y * * * * * 1 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * T * * * * * * * * * * 4 * * * * * * * * * * * * * * * * * * * * * * * Y * * * * * # * * * * * * * * * * * * * * * * * * * * * * * Y Y * * * * * * * * * * * CONTR * * CONTRACTCR: PI -CNE:____- _ - * PLUNGING INFCRMATION * z * * MAILING ACCFESS: * * * ********4*******************************************************************#* * MEC ANICAL INFORMATION * CONTR LIC#: !' CeQCL.4ez- * * CONTRACTOR:_U/L1�.Z� * MAILING ADCRESS: * *******#******************#********************************************s****** '�/� cevr✓ v / o c , ,3 T_0 t,) ELECTRIC:__ GAS: _CIL:___ COAL:___ i SCLAR:___ FEAT FUNP:_� * * * #*#**************************!****#***4*#****************************************1 MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/INSERT GAS WATER HEATER GAS HTG EQUIP<100,000>BTU GAS hTG EQUIP+100,000 BTU GAS PIPING - # OF UNITS HEATPUMP 1-100M eTU HEATPUMP 101-500M BTU HEATPUMP 501-1,000M BTU HEATPUMP 1,001-1750K BTU HEATPUMP +1,750M BTU REFRIG 1-100M BTU REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REI -RIG +1,750M BTU AIR CONDITIONER 0-3 HP AIR CONCITICNER 3-15 hP AIR CONDITIONER 15-3C HP AIR CCNC IT ICNER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTI-ES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANOLER 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 FLOOR SINKS BAR SINKS ROOF GRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URNAL DRINKING FOUNTIAN NUMBER OF YES OR NC