1989, 09-29 Permit App: 89003704 Pellet StoveIt ORMAT I ON WORKSHEET
•
PARCEL NUMBER: / 62 -
STREET ADDRESS:
j/
CITY/STATE/ZIP: ,,79
k
SUBDIVISION: (- ...e_,ofr9addse
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
OF BUILDINGS: f OF DWELLINGS: WATER DI S TRI CT :
CIWN ER :
I IA I LI NG ADDRESS:
PHONE: 4Z2-
CflY/TATE/ZIP:
C)NTACT: PHONE:
!;ETACY5-,: - } Pr)NT: LEFT: RIGHT: LEAP
1L1T 11:;I::
lllll *WO'S 7/**SIX *XX 77X***11172771,177%77,7777XX ************* 7*XXX7X7****
BUT I.DING 1141-01.1ATI ON
i'i•
NC; Al
1 1'EC17}-:14;INEFR:
NG ADDPESS : _
)
PHONE:
PY-.2;ovEt.: ADDITIO:Z: CHLNGE
OCCUP ANT bU I LDI N G S TO R I ES :
',..31LTJJ W3 Di 1.'.i-INI;10!".:
X
(WIDTH ): DY.V.411) SQ.
-iji i:D i'AIT 1 NC; : f HANDICAP: (i/N):_
1 IYD.77.1, f:
LIC€
); URA MDR :
_ILING ADDRFSS:
M
4:::*::::*:*:*::*::::::***::::::::::i::*:::::::::*:t:::*:t:::**::::::::
MECHANICAL INFORMATION
-JUTRAC1OR LICI:
roN'I RACPOR:
ILING ADDRESS:
E' 93%M .S iff LI5- settirigge 4)8 F9 eo.
cECl'RIC: GAS: OIL:
ERGY CODE: WSEC:
CCAL: H'OJD: / SOIJ.R: HEAT PUMP
NWWEC :
UTILITY: SGC:
PROACI1 - PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
, 1 t i t 1 1 1 1, 1 1 1 1 t t* t* t t* t i :: t t* t t i: i t t t, t Y s t t t t t t t t t t t i t t t t t t t t t t t t t* t t t:
MECHANICAL FEES
T. U}aC'I:I I''1'ION_
•i..1S1 t G FEE
YSTI- 1
'ATE•:R I3!=J,'j'}:R
i•1'G Ec1f111I'( 100,000 ) }>i't)
ii I'G };;QUIP 4100, 000 _
1PING - € OF 11!.: TS
-i1/t.1P 1-100 Ii'i'U
;'i'iUt•;P 101-500
1'JI;P 5O1-1000 IiTU _
1 001-1750 Ii'I'U
41751 IhTU
• 7G 1--100 hYLI
; 101--500 ii'1•U
1G 501-100 BTU _
• 1(; 101-1750 BTU
1G 41750 }; i'U
.'•:)':I)1 J i 0':}:R 0--3 HP
3-15 HP
1 5-30 HP
'- ::ii1'IC';ER 30-50 HP
450 .HP
17-.:S _
( i r.I:
NUMBER OF
YES OR NO
1-? i'I.IT'•"E'
PLUM13ING FEES
DESCRIPTION
1'RCCESSI NG FEE
'10I LETS
SI NKS
;;HOWERS
LATH T.JHS
1:1'i'C1niN :,I?:}.S
U1s1:-W'1.SI;I:RS
G)-.I'RAGE DI Si J 1 L
CIIJ1'tHES h1-.`_;I}ER
UTI LI '1'Y S 1 NKS
ELL'(71'RI C WATER I1} Ai'i-:1 S
FI r)JR DRAINS
I In')R SIJ;):S
I:?.P. SlNKS
1.)::A1 NS
SPRINI:LY_R
FJECTOR
i; i -.'i I:P.
i)}'IJ:I•.L
I) II:FJNG FOUNTAIN
NU t , B EROF
YES OR NO