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1989, 05-02 Permit App: 89001095 Boiler, Piping Ir ******4444-4*444 4 ** ****4 *******4*;******************** a**44444*444****444444 * INFORMATICN WCRKSHEET * **************4 **YY*****x ******.4*********************4444 ** *****4********* ** * GENERAL INFORMATICN * * PArtCEt_ NUMBEF JJll S7 * STREET ACCRESS : .1 7 �dg � ,_ � /" * * / * * CITY/STATE/ZIP :_ f /�L), �9, ' -_- * * SUCCIVISICN : jqvro,� CS?AT�' VUs I -01 - * * * * t3LUCK :__—I___ LOT : _-- ZCNE :__ EYZ CIS1RICTit :__la__ ; * * * LOT AREA :_L3b0 F /a : WIDTH :__g�__ DEPTH : /�'C R/t" : �'� * * * 4 CF rLCGS : is CF DWELLINGS : * * * * OWNE? :-_ __-� FhCNE : - - * * * * MAIL ING ADDRESS : * ___ * * CITY/STATE/ZIP :__- * * * * CONTACT : FHCNE : - - * * * * SETeACKS - FRCNT LEFT RIGHT PEAR * * .* PERMIT LSE :___ (;?,.AF-DJ_ V 4 ******444**** *#* 44444***441444 44***#******************:*******444*********4. K** *4********** 444444444444 *** *** ******** 414***************#********* *40****** * PLUNeINC INFCRMATION * * CONTR LICti : * * * * CONTRACTOR : Pi-ONE :____-__— — * * * * MAILING ACCP ESS : * --------- ---- * * 4*#****4444444444 4 * **** ** * *****4.**** **444 4*****4**4****** 4****4444***** 4****** * MECI-ANICAL INFORMATION * * CON TR LIC :_12. 6s 2 z27 -_ 4 * _ * * CONTRACTOR :__ _. FFCNE : �y-, ��- O� * * MAIL ING ADCRESS :_l�'�; � J * * ELECTRIC :_ GAS :iCIL:___ COAL :__ WOOD :___ SCLAR :___ FEAT FUNP:__ 4 * * ##4***;4*4**4* ***4** 4**4444****************************4444*#*4444****## 4*#4* *; ***#************************************`**************************-x************4 MECHANICAL FEES ' PLUMBING FEES ITEM DESCRIPTION NUMBER CF ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO ' PROCESSING F,EE YES OR NC DUCTWORK SYSTEM t - TOILETS wOCCSTCVE/ INSERT _ SINKS GAS WATER HEATER SHOWERS GAS HTG EQUIP<10C,000>BTU BATH TUBS GAS hTG EQUIP+100,000 BTU � KITCHEN SINKS GAS PIPING - i! OF UNITS _ f DISH WASHERS HEATPUMP 1-100M ETU GARBAGE DISPCSAL HEATPUMP 101-500P BTU CLOTHES WASHER HEATPUMP 501-1, 000M BTU UTILITY SINKS HEATPUMP 1 ,001-17504). BTU � ELECTRIC WATER HEATERS HEATPUMP +1 ,750M BTU _ FLOOR DRAINS REFRIG 1-100M BTU FLOCR SINKS REFRIG 101-500M BTU _ BAR SINKS _ REFRIG 501-1, 000M BTU ROOF CRAINS _ kEFRIG 1 ,001-1 ,750M BTU • _ _ LAWN SPRINKLER REI-RIG +1 , 750M BTU SEWAGE EJECTOR _ AIR CONDITIONER 0-3 HP WATER SOFTENER AIR CONDITICNER 3-15 HP _ URNAL . AIR CCNDITICNER 15-3C HP _ DRINKING FOUNTIAN AIR CCNDITICNER 30-50 HP AIR CONDITI-GNER +50 HP VENTILATING FANS • _ EVAPORATIVE COOLERS 7..--u/ HOODS _ - CLOTt-ES DRYER RANGE _ GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANDLER 10000+ CFM __,__