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1987, 04-06 Permit App: 87000866 Addition*******************************,-********************************************** * INFORMATION WORKSHEET * ****************************************************************************** * * PARCEL NUMBER: U L/ / n - ('j C) 5 * * * STREET ADDRESS: gS-1 v 1"/ e r°G ` C * * CITY/STATE/ZIP: �72v 49i✓R_ L{/� * SUBDIVISION: ,A3/,'i �Sl 2S *`( * BLOCK: / LOT: Q ZONE: r _1 _ DISTRICT: * * * LOT AREA: F/A: WIDTH: /36 DEPTH: /4/0 R/W: * * * # OF BUILDINGS: / # OF DWELLINGS: 1 WATER DISTRICT:1/,`0// * * * OWNER: / �A C Q 7.)e ✓'� PHONE: - - * * * MAILING ADDRESS: S X15 / 3 F.e K c a C 7 ** * CITY/STATE/ZIP:SG'D h''�_,�% * * / _ t,_sr. n1 � _ X t� _\\71l N U PC -IC e ( �(s * * CONTACT: S t 1),.i\; G� �D P 1110 N PHONE: - - * * * * SETBACKS: - FRONT: /90 LEFT: 70 RIGHT: L/C) REAR: O * * PERMIT USE: * * * ****************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: ;� j CO %If CONTRACTOR: * * * ije PHONE : O - * MAILING ADDRESS: f O 4-) / R l!'JGf'L /M 22,1 9 S"'g * ARCHITECT/ENGINEER: yPJ /X 2/1/ZUe y PHONE: 20 — 6 g77 — c.0 * MAILING ADDRESS: _SA/r n Jam/ ,/f4--&///2.1",-1 NEW: REMODEL: ADDITION: )S CHANGE OF USE: DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT: AO/ STORIES: / * BUILDING DIMENSIONS: /ca X (WIDTH X DEPTH) SQ. FT.: /c2 ® * REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: ****************************************************************************** * `.******atJC***********************v************#******************************** * NGI?ILE I -CNE INFCRNATICN * CCNTR LIC#: * ..CONTRACTOR: PNCNE * * * MAILING ACCRESS :_ * * * PREVICLS ADDRESS: * * LOCATION: FARCEL NLNEEP.:____� * c STREET: * S * CITY/STATE/ZIP:_ * * MAKE: NCDEI : # * SEPIAL4: MIDTH:LENGTI-:____ * * *******tt**Ix***xs*x**x**********************#****************************t** # RELCCATICN INFCRPATICN * # CONTR LIC#: * * CONTRACTOR: RFCNE:_ __-- * MA/LING ACRE .S : * * t * PREVIOUS ACCRESS: * , * LCCAT ICti:____ PARCEL NUNEER: * STREET: * t- * CITY/STATE/ZIP: * ***********:44X4*:*s**************************#****************************** * SIGN INFCRNATICN 4 * CONTR LIC*: * T * CONTRACTOR: Ft CNE: * MAILING ADDRESS: * * * * SQUARE FOOTAGE:___ POLE I -EIGHT:___ * * *********s*****s************************************************************** * OEMCLITICA INFCRNATI4 # * CONTR LICH: * * * CONTRACTOR: ;` FtiCAE: — — * * MAILING ADDRESS: * * * * BUILDING SQUARE FOCTACE: * * * NUMBER CF BUILDINGS: * * . * 44.******4***** ****************** ***********##************** ************ s**** ** r.t TTr-r t r r •-t tr-lr.t * PLUt'BIt.0 INFCRMATION •a CONTR LICA * CONTRACTCR: PrCNE:____—___ * t"AILING ACCFESS: s * * i+ddt*It4t444iit4*4g******tt*it*t********fir***************t*****t** * **i**gyp*** * ME(.t-AN ICAL INFCRMAT IGN • CONTR LICA: * * * CONTRACTOR: FI -CNE: — — * * MAILING ACCRESS: * x * ELECTRIC:__ GAS:___ CIL:___ CCAI:__ T,CGD:SCLAR:___ FEAT FUNP:___ x * t*Itt*x*****xitixxxtix0****x********t******************t*itt*i*tti**t**iti***** ****,*****************************t*************************************s*s*�a c*** MECHANICAL FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/ II`SERT GAS t:ATER HEATER GAS t -JG EQUIP<IOC,000>BTU GAS hTG EQUIP+100.000 BTU GAS PIPING — # OF UNITS HEATPUMP 1-1O0M ETU HEATPUMP 101-500t' BTU HEATPUMP 501-1,000H BTU HEATPUMP 1,001-1750M BTU HEATPUMP +1,750H BTU REFRIG 1-10OM BTU REFRIG 101-500K BTU REFRIG 501-1,000M BTU REFRIG, 1,001-1,750H BTU REI -RIG _ +1,750M BTU . AIR CONDITIONER 0-3 HP AIR CONGITICNER 3-15 hP AIR CCNOI TICNER 15-3C HP AIR CCNC.IT ICKER 30-50 HP AIR CONDITI-GNER +50 HP VENTILATING FANS EVAPORATIVE CCOLERS HOODS CLOTFES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-1000C CFM AIR HANDLER 10000+ CFM nLKBER CF YES OR NG PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATE TUBS KITCHEN SINKS DISH WASHERS GARBAGE DISPCSAL CLOTHES WASHER UTILITY SINKS ELECTRIC LATER HEATERS FLOOR DRAINS FLOCK SINKS BAR .SINKS ROOF CRAINS LAWN SPRINKLE; SEWAGE EJECTOR WATER SOFTENER URNAL DRINKING FOUNTIAN NUMBER OF YES OR NG =GNU 2A 6-) Q rL A I,..j 94;1' ` i - z -)1i LEGAL DESCRIPTION Lot 9, Block 1, Myron Estates *4 ADDRESS 5.4518 Pierce Ct. PARCEL *04442 -0809