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1989, 02-21 Permit App: 89000336 Fire Damage RepairINFORMATION WORKSHEET PARCEL NUMBER: 1-I 1}- / )3/3 STREET ADDRESS: /0 2 CITY/STATE/ZIP: SUBDIVISION: Ere KcJ)ex)i-D �+ : BLOCK: 3 LOT: ZONE: NS DISTRICT : LOT AREA: / / ale' F/A: WIDTH: -7E; DEPTH d SS R/W: iO # OF BUILDINGS: # OF DWELLINGS: OWNER: L/rY7 i 97 MAILING ADDRESS:_,_ CITY/STATE/SHIP: CONTACT: 0_5-2 2 WATER DISTRICT: PHONE: /ell n t (�// PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: )47;4_?- DQE �tyG Gt�t/i� :*************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: A/a/ea/&---c CONTRACTOR: W/2 /' r,�8C/1/.e. �p ,757 1 e 7,e. .7 PHONE: - riV - Ya 9a MAILING ADDRESS:v�/�/��f ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: CONTRACTOR LIC#: CONTRACTOR: 40 PLUMBING INFORMATION MAILING ADDRESS: * :************************************************************************* MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAB: ENERGY CODE: WSEC: OIL: CCAL: NWEC: APPROACH: PRESCRIPTIVE: WOOD: SOLAR: UTILITY: POINT: COMPONENT: HEAT PUMP SGC: SYSTEMS: -************************************************************************* MECHANICAL FEES PLUMBING FEES • "EM DESCRIPTION .2OCESSING FEE jCTWORK SYSTEM • 'ODSTOVE/INSERT s WATER HEATER HTG EQUIP(100,000)BTU HTG EQUIP +100,000 PIPING — # OF UNITS A.TPUMP 1-100 BTU ATPUMP 101-500 BTU "_!AT.PUMP 501-1000 BTU .:ATPUMP 1001-1750 BTU 'ATPUMP +1751 BTU EFRIG 1-100 BTU REFRIG 101-500 BTU REFRIG 501-100 BTU ?EFRIG 101-1750 BTU "':FRIG +1750 BTU :SIR CONDITIONER 0-3 HP AIR CONDITIONER 3-15 HP AIR CONDITIONER 15-30 HP 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 AIR HANDLER 10000 CFM NUMBER OF YES OR NO ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBER OF YES OR NO