Loading...
1988, 11-17 Permit App: 88003723 Pellet Stove * i. INFORMATION WORKSHEET PARCEL NUMBER: - ,3 STREET ADDRESS: C3: ./ 13 F�),�` iX ._,f4iv) CITY/STATE/ZIP: tJ� 1� &t/• a. �v SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: OF BUILDINGS: f OF DWELLINGS: WATER DISTRICT: ONER: /e- We l C LiS h% PHONE: 0JD9 - e ,- e,/,/, /y MAILING ADDRESS: I CITY/STATE/ZIP: j CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: ) RIGHT: REAR: ,,c. PERMIT USE: r" O.Q /,f�) ,_,_2z.��E �l�D i BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: - CONTRACTOR.: PHONE: - MAILING ADDRESS_ ARCHITECT/ENGINEER: ......... .... _..---`"`PHONE: MAILING ADDRESS: ter, NEW: R IODPL: ADDITION: CHANGE OF USE: DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT: STORIES: ' F BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : - REQUIRED PARKING: 1 HANDICAP: SEWER (Y/N) : HYDRANT: . i • / PLUMBI? .3 TNFORMATION \N r CONTRACTOR LIC# : \ CONTRACTOR: \ / s MAILING ADDRESS: ` ,MECHANICAL INFORMATION CONTRACTOR LIC#: / /7L- CO 6C / 73 4i� CONTRACTOR: / /y c;C9 C_;4/1-o �/ V /U ( 7 , 1- /I/C . MAILING ADDRESS: /� . C 3/(- ,S/ (-0 E' � ,-C�Ch /V 0 ✓ � ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *************************************************************************** MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION NUMBER OF ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO DUCTWORK SYSTEM TOILETS WOODSTOVE/INSERT9e2eZec.44 \ SINKS GAS WATER HEATER SHOWERS GAS HTG EQUIP(100,000)BTU BATH TUBS GAS HTG EQUIP +100,000 KITCHEN SINKS GAS PIPING - r OF UNITS DISHWASHERS HEATPUMP 1-100 BTU GARBAGE DISPOSAL HEATPUMP 101-500 BTU CLOTHES WASHER HEATPUMP 501-1000 BTU UTILITY SINKS HEATPUMP 1001-1750 BTU ELECTRIC WATER HEATERS HEATPUMP +1751 BTU FLOOR DRAINS REFRIG 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 ANAL 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