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1989, 02-03 Permit App: 89000233 Pellet Stove
PARCEL NUMBER: INFORMATIOle WOPr SHEET r STREET ADDRESS: //1110*- CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT AREA: 1 OF BUILDINGS: OWNER: d. -/Le> MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: LOT: F/A: ZONE: DISTRICT: WIDTH: g OF DWELLINGS: DEPTH: R/W: WATER DISTRICT: PHONE: 91- i77- r;'M.14 PHONE:. SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE:1 �2 i �.��• /2/.6_/) �D ********************************'k******************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: J • NEW: '' *DEL:: ADDITION: GE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: • •• r PHONE: PHONE: • 4BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: - -° 'REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:'' • CONTRACTOR, LIC$:. COUTRACTOR:- MA.ILING_ADDRESS:'T= �- 'r+ :.• ,_(i _ .- - - - T- - i / ` *********************************************1************************** .... , ...Y:.*` �^�`t•-...t. "nw•-"mow,»« i -^i. iY- `- tt-C--. _...- 4, MECHANICAL' INFORMATION ?-.» `'' ' CONTRACTOR •LIC CONTRACTOR: i .1^-- MAILING i,DDRESSI .. = . �/��%0-S�raC�((P �FC /t(E^ (.0049`7059 ELECTRIC:_ GAS::_ OIL CCAL: " WOOD: X SOLAR :_ ENERGY CODE: WSEC: NWEC: UTILITY: HEAT PUMP SGC: APPROACH:- :PRESCRIPTIVE:_ POINT: - COMPONENT: SYSTEMS: , ::k***********************************************************************x, MECHANICAL FEES -TM DESCRIPTION OCESSING FEE TCTWORR SYSTEM dODSTOVE/INSERT . .S -WATER IIEATER - ._ C -.S' HTG EQUIP(100,000)BTU`.-: "AS HTG EQUIP'+100,000:' '.S PIPING' --#.OF UNITS -J:4. :ATTUMP 1-100 BTU -:ATPUMP 101-500 BTU :SEATPUMP 501-1000 BTU - ':EATPUMP 1001-1750 BTU iKATPUMP +1751 BTU ' ' NUMBER OF YES OR NO PLUMBING FEES v •moi' • . ITEM DESCRIPTION PROCESSING FEE YES OR NO` TOILE»I's . SINKS ,-- -:- SHOSiERS = .BATH TUBS .KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL NUMBER OF • • 'EFRIG 1-109 BTU FRIG 101-500 BTU :FRIG 501-100 BTU FRIG 101-1750 BTU ;FRIG.+1750 BTU JR CONDITIONER 0-3 HP =" IR CONDITIONER -3-1S -HP -" IR CONDITIONER 15-30.,HP;'F'. 0.4.• IR CONDITIONER 30-50 HP • IR CONDITIONER +50 HP • 'NTILATING FANS `- :APORATIVE COOLERS.- 'YFI{P_S DRYER •> LOG • ' LISTED. GAS APPLIANCE: 2 HANDLER 1-10000 CFM CLOTHES WASHER UTILITY SINKS =# .::.:w . - ER _ELECTRIC WA rat HEATERS FLOOR DRAINS FLOOR SINKS- ._. - BAR SINKS :�" 4,;r',S': ,".1 e..i: ROOF -DRAINS • LAWN SPRINKLER f i1 i 1 1 Ij WATER SOFTENER :'3:r'1,. URINAL ' =',' DRINKING FOUNTAIN -: .; --•i �.'.,n td '1 �_` . . } . 'id •2��-i�f_. •