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1988, 03-17 Permit App: 88000525 Plumbing Fixtures • INFORMATION WORKSHEET PARCEL NUMBER: 3 T / ( � 0 STREET ADDRESS: j 2 0 q(? r2-�' j (j<-. CITY/STATE/ZIP: V R�L. - - �� C CJ3 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: P__( c_ -, . �`? CK C PHONE: - - MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: ****************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: PLUMING INFORMATION CONTRACTOR LIC#: CONTRACTOR: 2, r4ti,r / MAILING ADDRESS: /y/2‘ G /41/c- , � u62 y9„2!� *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *************************************************************************** MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION NUMBER OF ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO DUCTWORK SYSTEM TOILETS 012 WOODSTOVE/INSERT SINKS GAS WATER HEATER SHOWERS r GAS HTG EQUIP(100,000)BTU BATH TUBS GAS HTG EQUIP +100,000 KITCHEN SINKS GAS PIPING — # OF UNITS DISHWASHERS HEATPUMP 1-100 BTU GARBAGE DISPOSAL HEATPUMP 101-500 BTU CLOTHES WASHER l HEATPUMP 501-1000 BTU UTILITY SINKS HEATPUMP 1001-1750 BTU ELECTRIC WATER HEATERS / HEATPUMP +1751 BTU FLOOR DRAINS / REFRIG 1-100 BTU FLOOR SINKS REFRIG 101-500 BTU BAR SINKS REFRIG 501-100 BTU ROOF DRAINS REFRIG 101-1750 BTU LAWN SPRINKLER REFRIG +1750 BTU SEWAGE EJECTOR AIR CONDITIONER 0-3 HP WATER SOFTENER AIR CONDITIONER 3-15 HP URINAL AIR CONDITIONER 15-30 HP DRINKING FOUNTAIN AIR CONDITIONER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTHES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANDLER lonnn rime