1989, 09-13 Permit App: 89003357 Pellet Stove INFORMATION WORKSHEET
PARCEL NUMBER. z _
/1 5 30 igt occd- - ft 4 * /Or
STREET ADDR-ESS:Y1
M
CITY/STATE/ZIP:X UP r C.( t' .°" }x - .
5..,•♦ w .•.},t•. $
SUBDIVISION:
.r, r
�.; .4 t 4.#1,141,
LOT AREA: F/A: WIDTH: DEPTH: R/W:
r OF BUILDINGS: OF DWELLINGS: WATER DISTRICT:
OWN ER: X :Te rrC� /•C.(C Iter PHONE: -� - 7677 t
MAI LING ADDRESS:
CITY/STATE/ZIP:
CONTACT: cffe rry _ PHONE: 9 - - 24, 77 -
SETBACKS: - FRONT: LET: RIGHT: REAR:
! i:}:M1'r USE:
� C.CP(.! ��` �
* *s i x I *I I*I i* I*ay * *I I I I I I I III I**************-
BU I LDI NG
IIIIII*II***IBUILDING IN'c•'ORV..T,TION
TRACTOR I. tSE NUr:I3ER: -
( ON'i'1 ACJUR: PHONE: - -
1 ),I T. NG ADDRESS:
ARCi1i TEC?'/I-34GINEER: PHONE: - -
?Ai LI NG ADDRESS:
1:1:14: R} 10DEL: ADDITION: CHANGE OF USE:
L"AEI.L UNIT".. OCCUPANT TOAD: BUILDING HGT: STORIES:
PUILDING DIMI:NSIONS: X (WIDTH X DEPTH) SQ. FT. : •
PEQUI PED PARKING: I HANDICAP: SEWER (Y/N) : HYDRANT:
• 1
CI _ _ _ _ f
kILING ADDRF-SS:
MECHANICAL INFORMATION
51 5 et
0,G1, 40 fyiS
CONTRACTOR:
Ailimmommiimmombor
MYILiNG ADDRESS:
ELECTRIC: _ GAS: OIL: CCAL: WD13: SOLAR: HEAT PUY-a)
ENERGY CODE: WSEC: NEC: UTI LI TY: SGC:
APPROACH:, PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
, * * * *1.* t ** 1 *.** * 1 , 11* IItItt/ • t **** ** **** * * **** *** * **** * t *
Ed i IAN I CAL FEES PLUMBING FEES
Dr:SCR-11'1'10N NUMBER OF ITEM DESCRIPTION NUMBER OF
E:-:S1 NG FEE YES OR NO PROCESSING FEE YES OR NO
;' EM 101 LETS
,E7,9:4-71-;)VE/ N.r.7,ERT SI NES
rt-7ATER BEATER _ ;:ii.DWERS
iT6 ( 100, 000 ) 1 TUBS _
Ec_411.1P 4100, 000 Tk7iiEN INKS
.7, HI - t OF 'Pi] _ 1)1Si l',-,'/-...!;HERS _ _
. Tis1,411) 1 -100 13'.111 G1,1:BAGE
t.Yi)11!•11' 101-500 ITU - _ C1/IrTHES WASHER
.A*.:1)UMP 5(11 -1000 1iTU UT1L I TY SI NES
. _
.1,`I'PUMP 1001-1750 liTU ELECTRIC WATER HEATERS
_
1-'1/->")P. DP.A I NS _
-•i1C; 1- 100 13'AI SINES
.1 (; 101-1500 13.111 f;11t S
1C; 501 -100 1);Z7-.1NS
G 101-17!)0 BU -
SiRINKLER _
-
riJG -41750 :;1-,-"AGE ECTOR
• CI)!:1)11‘..1 ON ER 0-3 111' R
(.`,_)!;DITI(.7!;i:R 3-15 HP
_ _
• ( ;DI T.1(7;: EIZ. 15-30 hpI); INi7..ING, FOUNTAIN
_ -
( 71::)1TIONER 30-50 III' - •
_
P. C 150 HP
311.7,'i•ING FANS
I.;
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