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1990, 10-23 Permit App: 90005622 Insert 1 lb / .. oaf-s`/, - Diy? INFORMATION WORKSHEET C- I Ii Si��� ,, P1,RCEL NUMBER: STREET ADDRESS:( �' / ' •r C /b ZIP: 5J,", -'� $ "ITY/STATE/ -._� . .,- SUBDIVISION: • BLOCK:BLOCK: LOT: ZONE: AS DISTRICT:______ —. , • . LOT AREA: '2C60 _ WIDTH: DEPTH:________ .- --- $ OF DWELLINGS- WATER DISTRICT: r OF BUILDINGS: �� � PHONE: _2_/__—_ __L— / OWNER: * WA i Ath d A MAILING ADDRESS: 1'1'Y/STATE/ZIP: PHONE: CONTACT:___ SETBACKS: — FRONT: — LEFT: RIGHT: REAR: �i , iii 4416 y 1'Eu 1r USE:__k I_ . . sc.xx.kfcL.x*xxit*zxs*sclcif.liiclcfctic7tlcfrltltfcycsts7tflc7t*f.f: BUT LDING INFORMATION CO:i'i'12ACTOR LICENSE NUMBER: PHONE: — OU 1'RAC TOR:- _ NAI LI NG ADDRESS: PHONE: — 'ARCUITECT/E;NGINEER: N•. 'J.I LING ADDRESS: NEW:__ REMODEL: ADDITION: - CHANGE OF USE: BUILDING IIGT: STORIES: — L`,:Ef L UNITS:- OCCUPANT LOAD: —" y, (WIDTH x DEPTH) SQ. FT. : ' BUILDING U11"ENSIONS:_ — REQUIRED I'ARKINIG:_ I I1ANDICAP::______ SEWER (YIN) : HYDRANT: i I 4 Va i __ '' CO:11'1?ACTOR LI C r : CONTRACTOR: . ,V FLAILING ADDRESS: �\ * *.************************************1********************************** MECHANICAL INFORMATION CONTRACTOR LZC ; L - • AO CONTRACTOR: eg/i94 C.4 gdePEN • 8eAtme---,-Afei - - !AILING ADDRESS: ��/CWU�_C. _ 744�4/E ZeZfl o6 _ .> F J ELECl'RIC: GAS: OIL: CCAL: WOOD: XSOIJ.R: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: l.I'PROACI! PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: X X* ** X X***It* * *A X* ****X***R*It*R*R***At *****RR****2*****X** ***It*** * * 11 Ed AN I CAL FEES PLUMBING FEES TEM l)ES(:RI PTION__ __ _ NUMBER ITEM DESCRIPTION NUMBER OF ROCESS1NG FEE YES OR 140 PROCESSING FEE YES OR NO SYSTEM 101LETS OM)S7t)VE/11.,ERT )� S111KS __ ^ WATER HEATER :SHOWERS - H'1'G EQUIP( 100, 000)BTU BAT II TUBS — ;1.S IiT'G EQUIP +100,000 — IJ TCHEN, SINKS — ;AS PI PI NG - OF 1141 TS -_� - lll SIIWA_SHERS EAl'PUMP 1-100 13TU ----- GARBAGE DISPOSAL iEA'I'I'UMP 101-500 BTU _---- CIIJ11IES WASHER = _ i :ATPUMP 501-1000 13TU _ UTI L1TY SINKS “:ATPUMP 1001-1750 BTU _ ELECT'RIC WATER HEATERS 'L:AT1'UMP +1751 13TUFLOOR DRAINS - :I-"R]G 1-100 BTU - FLOOR SINKS • :1-'PI G 1 01-500 13'1'U _ • 13AR SINKS :F t'IG 501-100 I3'1'U ROOF DRAINS 'i:FkTG 101-1750 BTU LAWN SPRINKLER EFRIG -I 1750 131'U SEWAGE EJECTOR • 1H CONDIT]OVER 0-3 HP WATER SOFTENER NER I: CONDITIONER 3-15 I1P _ URINAL ' .1R CONDITIONER 15-30 IIP DRINKING FOUNTAIN 1 R CONDITIONER 30-50 HP • .1 R CONDITIONER +50 IIP '1.!iTIIJI'ING FANS ::A1.'01?l:l.'VE COOLERS ES DRYER 1..14(;E - 'AS 1/)G _ !1I.1 :TED C7.S' AI'1'I.TT.'W .I 1Z !':' !;1 ''.::1? 1 - 10000 r'1'1; -