1988, 11-10 Permit App: 88003646 Woodstoves.
INFORMATION WORKSHEET
PARCEL NUMBER: 02-5 (I- / -t
STREET ADDRESS:
p061/2/ y' GJ e. ((e -fey
CITY/STATE/ZIP: ge8!( eren.G , LOA - 991/6
SUBDIVISION:
BLOCK:
LOT:
ZONE: DISTRICT:
LOT AREA: / F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: l # OF DWELLINGS: WATER DISTRICT:
OWNER: G U i G _.t," a reit/ PHONE: .1-9 9 - 9.,7 -Cf- 6f9/
MAILING ADDRESS:_ E. , .I I / i I( ti c. 1/4I icy
CITY/STATE/ZIP: , ,) ® g ( _ / 12/ g. f 2-
CONTACT: (J PHONE: /09 -7;"(- Gr9/
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
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:
Revised 1/88
CONTRACTOR
PLUMBING INFORMATION
CONTRACTOR: .
MAILING ADDRESS:
CONTRACTOR. LIC*:
CONTRACTOR:
MECHANICAL INFORMATION
MAILING ADDRESS:
ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP
r --
ENERGY
ENERGY CODE: WSEC: NWEC: UTILITY: SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
*************************ft*********************t*********************** *****
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION NUMBER OF ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO
DUCTWORK SYSTEM TOILETS
WOODSTOVE/INSERT SINKS
GAS WATER HEATER SHOWERS ,
GAS HTG EQUIP(100,000)BTU BATH TUBS
GAS HTG EQUIP +100,000 KITCHEN SINKS
GAS PIPING - J 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
HEATPUMP +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
AIR HANDLER 10000 CFM