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1989, 12-06 Permit App: 89005100 Pellet Stove I2� -ORMATI ON WORKSHEET ' t I � Ii 4 PARCEL N1JNBER: p STREET ADDRESS: p \_°") \3A CITY/STATE/ZIP: `1 1 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W. OF BUILDINGS: OF DWELLINGS: WATER DI STRICT: OWN ER: `)�c�(\. >S 1 PHONE: "� — �``C ls� • MAILING ADDRESS: CITY/STATE/ZIP:_ CONTACT: PHONE: SETTTACKS: — FRONT: LEFT: RIGHT: RELY.: IEl:MIT U.,E -- - V \` _ � 1 a,a* a .,c*Aaresxxa*a*** a aa, as ** * , **a S.*x*s s****x**s :s.** BUILDING IN'rORMATION :•j)NTRhC'1OR LICENSE NUMBER: — — t'UNTRACJ'OR: PHONE: 1;1.3 LI NG A1)I) E`.>S: I,}?( 1TECT/}-:NGINEER: PHONE: ?VA LING ADDRESS: NEW: } F21ODEL: ADDITION: CHANGE OF USE: I'ELL LINT`T'S: OCCUPANT LOAD: BUILDING )IGT: STORIFS: LUII.DING Dl N:ENSION X (WIDTH X DEM ) SQ. FT_ : • P EQU I N ED PAP.KI NG: • HANDICAP:' SEWER (Y/N) : IIYDRANT: LICf :_ - -- U CONTRACTOR: MAILING ADDRESS: :::tt:*tt*t*t*ts*aa*tttt*****tt**aaa**t:*.t**taut*t*t******************** MECHAM-ICCAL I NFORMATI ON CONTRACTOR LIC#: f,'?LL / 7J'2 e CONTRACTOR: F/9 & 67�e • . 6N 77 ie- Cs .�- Q Q d / j�Q �., _ MA I LING ADDRESS: E .9JIO S?/C 4 1 -' S, O4'hW8 V; 9fK�/ � t J •1 ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: Id'PROACH> PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: a , f ,..It k=2 1******::::k x!!f=**raft!** 1 Y x t t t i t l t l t**********, :x*:***1'*=!c!*t f** MECHANICAL FEES PLUMBING FEES 'EM I)ESCH1 P'I'TON _ __� NUMBER OF_ ITEMDESCRIPTION NUMBER OF _OCESSING FEE YES OR NO PROCESSING FEE YES OR NO CTrURK SYSTEM TOl LETS •.)DS7 JVE/IN 1-:RT --- - SI NKS ---- WATER HEATER _ ::HO ERS liTG EQUIP( 100, 000)BTU BATH TUBS S IF'PG E`)UIP +100,000 _ I:1 TCH/.2.1 SI NKS -S PI PI NG - t OF UNITS _ DISHWASHERS :ATPUMP 1-100 13TU GARBAGE DISPOSAL .ATPUMP 101-500 I3TU — CIIJ'1'HtS WASHER __ - = .ATPUMP. 501-1000 I3'1v - UTILITY SINKS - .7JTI'UMP. 1001-1750 I3TU _• ELECTRIC WATER HEATERS -- .Ati'UI;P. +1751 ;I3TU FI ODR DRAINS --_ 12R3 G 1-100 BTU - FIODR SINKS :-'RIG 101-500 .BTU BAR SINKS G 501-100 BTU RODF DRAINS t'IZ1-G 101-1750 BTU LAWN SPRINKLE FRIG i 1750 BTU SEWAGE EJECTOR R-:CONDITIONER 0-3 HP WATER SOFTENER it- CONDITIONER 3-15 -IIP UR n; F,=CONDITIONER 15-30 IIP r DRINKING FOUNTAIN Ri CONDITIONER 30-50 IIP RT CON DITI O::Lit +50 IIP - . ':T,I1J.TING FANS ii7ZRATIVE COOLERS air; ° UIES DRYER E''t. . -_— i:TJ i'ED CT,S APPI.I).'SCE 'L. _ I�t:' l )Y.I.R 1-10000 01116 __. _ _.-