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1989, 02-06 Permit App: 89000044 Pellet Stove
INFORMATION WORKSHEET PARCEL NUMBER: 5 / /(0(9 1/1/ STREET ADDRESS: C)C R c - at D fit CITY/STATE/ZIP (L)(C..A. l u,4 qc/ z 1 Z SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: N� rOWNER: PHONE: - - MAILING ADDRESS: ' 4-1436(-9.6 CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: U'L: , /; 5,60r __1f 71 ,(- x***************************************************************************** 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: MAILING ADDRESS: *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: /114-77 0 (3 /ti i iti CONTRACTOR: v70/.ML (//10►OV E'/ MAILING ADDRESS: /i I4r2 0,y Q(,L)4-9 ` 5 P6,-_ & C)} /:� ` C ELECTRIC: GAS: OIL: CCAL: WOOD: / SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *************************************************************************** MECHANICAL FEES PLUMBING FEES TEM DESCRIPTION NUMBER OF ITEM DESCRIPTION NUMBER OF ROCESSING FEE YES OR NO PROCESSING FEE YES OR NO UCTWORK SYSTEM TOILETS Paci=i ( SINKS CAS WATER HEATER SHOWERS AS HTG EQUIP(100,000)BTU BATH TUBS ' .x\S HTG EQUIP +100,000 KITCHEN SINKS .S PIPING — # OF UNITS DISHWASHERS ;1 :ATPUMP 1-100 BTU GARBAGE DISPOSAL C IIATPUMP 101-500 BTU CLOTHES WASHER HATPUMP 501-1000 BTU UTILITY SINKS �.I ATPUMP 1001-1750 BTU ELECTRIC WATER HEATERS T{ ATPUMP +1751 BTU FLOOR DRAINS H :FRIG 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 ATR RAmnrvuo 1 nnnn nL-..