1990, 02-21 Permit App: 90000608 Insert INFORMATION 'WORKSHEETI 1
• 1P 1
PARCEL NUM3ER: 07. T
'
STREET ADDRESS: \ l(-) \-'k Cl ) rrn S`'N Q N -
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CITY/STATE/ZIP: � iiiiACI,S\i\,___Q___, \ ,L . CO .
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
•
LOT AREA: F/A: WIDTH: DEPTH: R/W: .
OF BUILDINGS: f OF DWELLINGS: WATER DISTRICT:__-
C..)WNER: ____A,,,..(A. \oma 1 N\.( -:'� PHONE: La_- c \ - -A
MAILING ADDRESS: '----- " C'
C , ,
CITY/STATE/ZIP:- -
CO;•ITACT: PRONE: -
SETBACKS: - FRONT: LEFT: RIGHT: RE.kR: __
I i:I.t:1 T USE: __ A 1.' -V_ �( . -- ---
x***ai *aaaaaa** * aa** aaaaaaaaaa*a* rasa: *aa*a aaaa.,.
BUILDING INFORMATION
:',:)::TRACTOR LI CENSE NUMBER: __-
(ON'I'IJ,CTOR: PHONE: - -
t;),3 1.3 NG AI)D1Z/-:;S: ------ --- ---
A.,-CiiITECT/ENGINEER: PHONE: _ - -
7A1 I.I NG ADDRESS:
NEW: }F14ODEL: ADDITION: C .7-.NGE OF USE:
I WEr.L UNITS: OCCUPANT IDAD: BUILDING HGT: STORIES: '
1'.UII.DIt:G DIMENSIONS: X (WIDT1i X DEPTH) SQ. FT. : •_
I:EQUI NED liar.ING: # HANDICAP:' SEWLM (Y/2l) : IIYDi2ANNTT:________
.�C.C�.aeC/ .
•
CC.MTRACIUR LIC#
CONTRACTOR: \
MAILING ADDRESS: •
**************************************i************** **iris****otic*********
MECEANI CAL I NFORMATI ON
CONTRACTOR LICI: L _ - .J
40
CONTRACTOR: E/494 G7 gC ply . 86wTE;s - 'Cs
NAI LI NG ADDRESS: E . ...5-#7,02670 S/'O, ', #E
ELECTRIC: GAS: OIL: CCAL: 4WD: SOLAR: HEAT PUMP
ENERGY CODE: WSEC: NWEC: UTILITY: SGC:
APPROACH PRESCRIPTIVE: POINT: C&I,IPONENT: SYSTEMS:
4 7 = %x x x x x x x x x*2 2 2 1 x**s x x x x x x x x 1 1 1 1 x 1*x i * *1 6 1 1 **x*x *f t i i *x *x Y x? x x x !=x 1 1 1*
MECHANICAL FEES PLUMBING FEES
'EM IDI-:Sc1:1I'1'ION NUMBER OF ITEM DESCRIPTION NUMBER OF
C K}:S SING FEE YES OR NO PROCESSING FEE YES OR NO
icTr )R}; 101 LETS
••)I1S'l J'JF:/I J: ERT - - --- SI Ji};S -
WATER HEAT}:F.
HTG Ec)UIP( 100, 000)BTU }:''Iii TUBS _
S HTG 4100,000 -- - KITCHEN SINKS -
PIPING - OF uNl!'S _ __ _ _ DISHWA_�IIERS
,TPUMP 1-100 I3TU G1J RAGE DI SBOSAL
-
.TPUMP 101-500 IIcU Cl/1'.111S Wl.SIiER -
,Ti'UtIP 501-1000 BTU UTI LI TY SI NYS',TPUMP 1001-1750 I3TU - E_LECIRIC WATER HEATERS i
.'.'i'PUMP +1751 I3TU FILODR DRAINS - —
'i41G 1-100 I3TU I-'I/ DR .SINES
G 101-500 I3TU BAR SIJ ES
IG 501-100 BTU POJF DRAINS
kIG 101-1750 BTULAWN SPRINKLER
BIG -I 1750 BTU -- — SEWAGE EJECTOR
CONDI TI ONER 0-3 IiP WATER SOP M:ER
CONDITIONER 3-15 FFP _ _ URINAL
CONDITIONER 15-30 IIP DRINKING FOUNTAIN
r? CONDITIONER 30-50 HP -- _
CONDITIONER +S0 HP
:TI hATING FANS
POP.ATI VF, COOLERS
i. ES I i:.Y -:R
i-:D GAS APPLIANCE
-
NIDI.}:R 1-10000 Cil! -