1986, 12-05 Permit: 00014422 ResidenceSIGNATURE OF
OWNER ORAGENT
JOB ADDRESS
APPLICATION
DATE
�
MULTIPLE
TOTAL FEE
PERMIT
FIXTURES: Bar
Building Code Fee
Foont
O
TOTAL FE�
Energy Stodies Sorcharge
C/W
Pipe 01
TOTAL.FE.
BUILDINC
01
Ki-tchen Sink 01
TOTAL
Valoation62000
Tray 0
Sewer,
r
E ec�
PH:
Water Closet 02
LICENSE*:
Permit Fee
# of FI ors 01 # of Bedrooms 000
# of Rooms
000
8
PRIMARY STRUCTURE.
Tob 01
escI DW EL LlNCUB Croup: R-3
Sg-Ft 1548
Type�
VN
Otber 0
Occ��ancy Load
Rate
PLAT.:
LOT St BLOCK
Carbage Disposal 01
FINAL
PLAT N -Em
Desc; DWIH. LLINQ Croop� R-3
Type:
VN
0 Fee
Sq -FT 1540. Occupancy Load
RaTe
IS
Desc� CABAQCruop; M-1
Ty e;
VN
USE OF PERMIT:
Rate
6.00
JOB ADDRESS:
APPLICATION
DATE
MEC HANICAL TOTAL FEE $6.50
VENT Fan 00 Evap Cooler 0O Ho�d O0 Doc� U001 Misc 00 Fee 6.50
FUEL GOURCE\ Electric Y Gas N Oil N Coal N Wood N Solar N
DISTRIBUTION� Forced Air Y Radiant N Hea-v Pomp N
PLAMBING
�
MULTIPLE
TOTAL FEE
PERMIT
FIXTURES: Bar
Building Code Fee
Foont
O
TOTAL FE�
Energy Stodies Sorcharge
C/W
Pipe 01
TOTAL.FE.
BUILDINC
01
Ki-tchen Sink 01
TOTAL
Valoation62000
Tray 0
Sewer,
r
E ec�
8
Water Closet 02
Permit Fee
# of FI ors 01 # of Bedrooms 000
# of Rooms
000
8
PRIMARY STRUCTURE.
Tob 01
escI DW EL LlNCUB Croup: R-3
Sg-Ft 1548
Type�
VN
Otber 0
Occ��ancy Load
Rate
6.80
SECONDARY STRUCTUKE8�
Carbage Disposal 01
Electric Water
Desc; DWIH. LLINQ Croop� R-3
Type:
VN
0 Fee
Sq -FT 1540. Occupancy Load
RaTe
32.00
Desc� CABAQCruop; M-1
Ty e;
VN
Sq-F� 580 Occopancy Load
Rate
6.00
MEC HANICAL TOTAL FEE $6.50
VENT Fan 00 Evap Cooler 0O Ho�d O0 Doc� U001 Misc 00 Fee 6.50
FUEL GOURCE\ Electric Y Gas N Oil N Coal N Wood N Solar N
DISTRIBUTION� Forced Air Y Radiant N Hea-v Pomp N
PLAMBING
TOTAL FEE
$44.00
FIXTURES: Bar
Sink 0 Drioking
Foont
O
Floor Brain Fee
48 U
.0
C/W
Pipe 01
Dish "Washer,
01
Ki-tchen Sink 01
Laundry
Tray 0
Sewer,
r
E ec�
8
Water Closet 02
Lavatory
02
Urinal
8
Shower 01
Tob 01
Bidet
O
Otber 0
Carbage Disposal 01
Electric Water
Heater 01
Roof
Drains
0 Fee
4.00
Sewer ? N Septic/HeaIth
# 0
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DATE
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