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1988, 08-12 Permit App: 88002350 Water Heater 0,11 ,a.--, CJ/ `," INFORMI TION.WORKSHEET PARCEL NUMBER: ,i2e‘5,-/ 68//ii 5zr STREET ADDRESS: /7 / CITY/STATE/ZIP: -v't( 6,t_74 C/ L) :.2/2_ 7 SUBDIVISION: J BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: ,e��-'r ��C2_-, •(_ PHONE: - 7 ' -- MAILING ADDRESS: (3).-d I%L CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: {� LEFT: RIGHT: REAR: PERMIT USE: C 1 l" ("� �"l i� �� Q-t- /t7iL *************************************** ************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: M NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING: it HANDICAP: SEWER (Y/N) : HYDRANT: PLUMBING INFORMA` 1ON - CONTRACTOR LIC# : • 4 CONTRACTOR: MAILING ADDRESS: � ._ xxxxxx***************x***********x**x**x***x*************x*x***x**x******** MECHANICAL INFORMATION CONTRACTOR LIC#: A if p.A H Lr /61J)Vi CONTRACTOR: I ' A &I QUAIIITY HEATING, INC E. CE. 12710 Indiana MAILING ADDRESS: Spokane, VA-linen-1 99216 ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: * xxRxx*xz *xx**x*O* **x**x*O*M*O****xx*********I****x***x MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION .I-i.ii:ER OF ITEM DESCRIPTION NUMBER OF PROCESSING FEE OR NO PROCESSING FEE YES OR NO DUCTWORK SYSTEM (5 t,' TOILETS WOODSTOVE/INSERT - SINKS GAS WATER HEATER 64,041V €• .S C''') SHOWERS GAS HTG EQUIP(100,000)BTU BATH TUBS GAS HTG EQUIP +100,000 KITCHEN SINKS GAS PIPING - # 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 HEATTPUMP +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 URINAL . 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 71TT TTT Rr T`� 1 nnnn .��•