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1987, 08-20 Permit App: 87001823 Relocate Residence, Addition (; 1 $ 4 t - (' 1 r.. * INFORMATION WORKSHEET * ************************************************************* 823-182* *** * * PARCEL NUMBER: /8si3 " /ex It * * * STREET ADDRESS: k_.,1,-)R-T- N /16 S V1 STA- 1 7b * * CITY/STATE/ZIP: 3PCKA-L)& evA 'Q2,1 2- * * * SUBDIVISION: * * * BLOCK: I LOT: L' ZONE: DISTRICT: * L r *VI' LOT AREA: F/A: Pe WIDTH: Vit DEPTH: II GI R/W: it() * * * * # OF BUILDINGS: 2- # OF DWELLINGS: / _ WATER DISTRICT: m u''-C. 1 , * * % OWNER: L.e,5I i G 9' I.-os.( r I V\iG1 f I 1,, PHONE: - - MAILING ADDRESS: ?, Q, Bo x /4 S 25 * CITY/STATE/ZIP: j,0 p &G N e_._ WCA, , 19' 2. 1X" CONTACT: t.ar r y or Leç L ' II; e IA/is PHONE: 507 - 53 - 3058 SETBACKS: - FRONT: 3 0 LEFT: 3 Z RIGHT: /0 REAR: 5 /,? * * PERMIT USE: Ho on e, * * ****************************************************************************** * BUILDING INFORMATION * * * * CONTRACTOR LICENSE NUMBER: * * * * CONTRACTOR: PHONE: - - * * * * MAILING ADDRESS: * * * * ARCHITECT/ENGINEER: PHONE: - - * * * * MAILING ADDRESS: * * * * NEW: REMODEL: ADDITION: CHANGE OF USE: * * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : * * * * REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : )" , HYDRANT: Ye 2, * ****************************************************************************** * CCNTR LICE : * * CONTRACTOR : PHCNE :____—____—_____ * * m * MAILING ACCRESS : * PREVICLS ADDRESS : t * * LOCATIGN :___—__ PARCEL NLNeEP. : * * 4 * STREET : * CITY/STATE/ZIP :_ t * .. * MAKE : NCDE i_ : * * * SEPIALk :_ t• IDTh:____ LENG1F :—_-- t * 0 , 4****4x44 : ttfxtt4ttttx 2x************#* 4***4****#*#****_*#***************_* * RELCCATICN ItFCRr TICI * 4 CONTR LIC: : CC':�TRACTOP :__-- Ft-CNE:—__—___—_--- 4 * MAILING AJCRE5S : _ * PREVIOUS ACCRESS : 7 A/ CifiK gr ,� ,_ • LCCATICN :___ _ PARCEL AUN'LER:_ 1S T R E E T = * -- -------------- ---- — * CITY/STATE/ZIP : S' Ci_iG l e.� W .. . ************ txx4* est********************************************************** * SIGN INFCRNATICN * CONTR LICI : * * CONTRACTOR __-- _-- ---__—_-- FI-CNE:__-- * * - * MAILING ADDRESS :_ ____ —_— _ __— * * * * SCUARE FOOTAGE:__—,__ POLE t EIGHT :___—__ * * • * ***************4************************************************************** * DEMCLI1ICN INFCFNATIC * * CONTR L ICH:_ I' - * * * —_-- —___--- —___-- — _ FNCNE:* CONTRACTOR : ; — — * -- — — —* .* * MAILING ADDRESS : * ___ _ _—_ _ * * * BUILCIlG SCIJARE FOCTACE: * NUMBER CF °UILCINGS :__ __ * * * - # ****44V4*** **********************x*4**************************4.44****** 7e r _. f CONTR LIC111111111111111 :___— * * CONTRACTCR : Pt-CNE :____ __— * t t 1 * r!AVLI G ACCFESS : ____ _ t # :# # t** tttttttttt *ttt###*# tt# *t#t ## #r *as**4*t**#t## ##tot# * tatt# tt #t*#r- 4 *** * * * MECHANICAL INFCRMATIGN t_ * CONIR LICA : t * ` * CONTRACT GR : FFCNE :---- ----- # t * * MAiLINC ACCRESS : t t r # ELECTRIC :__ CAS :___ CIL :___ COAL :_ t,CGD :___ SCLAR :___ FEc1 FUNP:___ I # tett*Lttt#t-ttttttttt*# # t$ -###tt######*: ##* ** kt#**vt* tttrtt- titttC# # ttttt: # n #**#t*** Rik**####****#******************Mkt*#***************** +aka#*********ata *** MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION NUMBER CF ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NG PROCESSING FEE YES OR NG DUCTWORK SYSTEM L417t1 TOILETS Yes_' wOCCSTCVE/ INSERT 4L..-S' _ SINKS Yes= GAS %ATER HEATER N-U SHOWERS yew GAS I-TG EQUIP<10C.000>BTU _ __�_ BATHTUBS /�1- GAS t,TG EQUIP+100.000 BTU _—y_- KITCHEN SINKS ycS_-�s _ GAS PIPING - # OF UNITS _ DISH WASHERS Noor-vp �4 I;EATPUNP 1-100M ETU GARBAGE DISPOSAL 11L0 _ HEA TRUMP 101-500V BTU — CLOTHES T,ASHER yc5— E HE ATPUMP 501-1,000M BTU - _____ UTILITY SINKS ,-oo( - uP NO HEATPUMP 1 ,001-1750M BTU _�__ ELECTRIC RATER HEATERS Yes- Z H`ATP'JHP f1 .750H BTU FLOOR DRAINS Yes- 1 REFRIG 1-100H BTU ___ FLOOR SINKS 1'v 0 REFRIG 101-500M BTU ____ BAR -SINKS NO REFRIG 501-1,000M BTU ROOF CRA INS REFRIV 1,001-1 ,750M BTU LAWN SPRINKLER REV RIG . +1 , 750M BTU ------ SEWAGE EJECTORAIR CONDITIONER 0-3 MP _N'° WATER SOFTENER ND_ U AIR CONDITIONER 3-15 HP _�_$ URNAL IV D AIR CONDITIONER 15-3C HP NO -6. DRINKING FOUNTIAN Nv -&- AIR AIR CCNC.ITICNER 30-50 HP NO -e-- AIR CONDITIONER 4-50 HP _N0 it). jj�� lJ I VENTILATING FANS GX 4t 'Z'_( EVAPORATIVE COOLERS HOODS la__ CLOTFES DRYER Yes-1_ I RANGE 171 .1t . GAS LOG ..NC.-f. 4 UNLISTED GAS APPLIANCE NO AIR HANDLER 1-10000 CFH _ __ AIR HANDLER 10000♦ CFM } AUG 11—'87 ©8:13 ID:HEALTH SPO TEL�//NO 509-456-4716 #592 P01 �.. Yeti ','. �„MMh.r ViY rdr�. ��..•• + ,?!. Ir } P '. t:' • .RJr1 w` l)'• , ta 1 r�i4.1,,,•„0. �J J,i.,y' 1.'.......,,y• 0 4 '4h...`, Q� },pttYl�r�1 ' !‘;P:' ''.i .0 f �~ I f t)� y,l ie,i,,',7��i4s�r,?%i, 'i 1t�M1 11� . n , i4 ., }• '.("' '411 F l ,�4,.t,Ff�i/,� ,4:', t y..!%:4'''. '�� SII, ... i�,.irui �.4'}. y, } • 1 4 • ' . •. i Moi 7'.hti. �4,..B'A.. •VP 1:,:1:„.,,...,,1 ,r ({,g'� '. ;$0, itii.•"i;�S.; i, +t.+ :.ie;:rYLkL lii. '4. ,, , 1 047, 1',1,4, C ' 1 � �'. 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