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1991, 01-07 Permit App: 91000065 Pellet Stove, SIP PARCEL laMBER: ETRE ET ADDRESS: 991 l 1 S. Res C� . I1:'r'Oiv"1,T1 ON WORKSHEET • ▪ . CITY/STATE/ZIP:-foDtcurN9._ ) �' �� c2DCQ sUliriIYISION:.• FLOCK:' LOT: I,CTT Al:EA: F/A: WIIY11i: DEPTH: R/W: OF BUJ i.UINGS: -j-€ OF DWELLINGS:. ' WATER DISmTRICTT:__ --..�::}t: 7\ l Cil 0ll l Ctb% P11D::E:_� Vq -4‘(:)‘5 59 U12 ZONE: DISTRICT: ?A]1.ING ADDRESS: 1'J'Y/::T/:1'E/ZIP:_ - 11:11:1'1' U:;E: P11017E : BUJ LI)7NG I1:'r'OR AT'307: ':').`).C'J\")R 1.ICPJ: r. NUMBER: EA] 1.) NG Al iUN12;n: PHONE: 1.;r:i11Trine/ EIJGINEER: ' -^ . PHONE: _ I;.'.1 1.1 NG ADDRESS: NEW I.EMODET.: ADDITION:_ CHANGE OF USE: 1'e1:I.T. I:::J',':: CGCCUPANT Jfl1D: DUI I.DI14G HGT: SIORIFS:_ 1'.U11.)J1:G 1111:}:!7::IO:S:_ Y. (WI Drill ): DEV'iTi) SQ. FT.:__ 1,17.):1I v1:1) 1'/.1:1: 1)1G: 1 IUJiDICAP: I -E ER (Y/N): 11YDRAlr f:__ CONTRACTOR: NAILING ADDRESS: silrrrrrrrirlrzrsirtirriiirrrrrirrrrrsrrrlsirs::ir:::::rsi:tirsr:::::r11r MECHANICAL IFFFORM1TION CONTRACTOR LC!: _p / L ad e/_it�jewiCv�e AA COJ: Ith 'iCiOR: ��G CD er/epey ra4 . SAP/cafe: I, s*4'/T#IC £),9 c 2 MAILING ELECTRIC:___ GAS:, OIL:_ CCAL: ENERGY CODE: WSEC: tr)7EC: WJJD: /\ SOLAR: HEAT PUMP UTI 1,1'iT: SGC:__ APPROACH> PRESCRIPTIVE: POINT: _ COMPONENT: SYSTEMS: 1**** t r i 1 2 i i 1 s 1 i i 2 1 1 1 1 2 1 1 i i i L i* i i 1 1 1 1 1 1 1 i 1 1 i 8 i 1: i i 1 i i i i i 1 i i r i 1 1 i i 1 i i i 0 i i i x i. MECHANICAL FEES !TEM U I;SC_i:1. P1'I ON ---- -RUC 1:SS1UG FEE IC:'.:. )12K :;Y:,'i') _1. :'J):.'J-) 1:/ 11::'.r.i:'T "! WATER HEATER HT ; }7`)UlP(100,000)HTU ?S 1IJ'G F:;)UIP 1100, 000 :;AS PIPING - f OF UR 1 TS HE I'i'Ut?3' 1-300 BTU H E.Vi'i'UMP 101-500 )3TU ;i;: ATI'UMP 501-1000 )J'1'U i:AJ'J'IJMP 1001-1150 BTU '>:F'J'J'I1MP 11151 BTU CERJ(; 1-100 mu :ri'IG 101-500 I;TU •:f'FIG 501-100 BTU ,';:Fi<IG 101-1750 BTU ::)'RIG 11750 11'J'U NUMBER OF YES OR 170 !P CONDITIONER 0-3 1)P 'N COND1T1C'!;I:R 3-15 HP IR CONDITIONER 15-30 11P 1P CONDITIONER 30-50 HP -IR CONDITIONER 150 13P .j.!.'J J LA'J'J 1:G VANS }:'.7,1•:);'A'1'1 V;: GOOLE;:S !/Ji iif?S 1)YER /-.!::,E 'AS Ii>•3 i'NI.1 !:i'1:1) (:1.; APPLIANCE '.1 R I. !;i'l.!:;t 1 - 1 0000' c'1 "1; PLUMBING FEES ITEM DESCRIPTION NUMBER OF = PROCESSING FEE 'JOT I.E'rS SINKS ::HO E:3S E?,ii3 TUBS KITCHEN SINKS Dl ;ir i ci;i:RS GARBAGE DISPOSAL CIIil'HES WASHER UTILITY SINKS ELECTRIC NATER HEATERS FIIJDR DRAINS 1'1lDJR 'SINKS HAP sl rrs RODE BRAINS 1.? N SPRINKLER Sl74AGE EJECTOR WATER SOFTENER URINAL DRINKING FOU)rI'AIN YES OR NO