1989, 11-02 Permit App: 89004464 Pellet Stove INFORM. TTOl WOP.F.SHEET � ' t
'yY
PARCEL NUMBER: D - / - 6-'.`-_..1 a07 y
:'.--;7.RE ADDRESS: , \ G� - -�
ifr-
CITY/STATE/ZIP: ��"ill \► 1 _ �� _
SUBDIVISION:
BLOCK: LOT: ZONE: DI STRI CT:
LOT ARRA: F/A: WIDoh: DEPTH: R/W:
;- OF BUILDINGS: € OF DWELL' WATER DISTRICT:_
....Y.-.1:ER: \�C� oll _ �L11, -N\_ PHONE: c1`a. D - 31 ��
,:AILING ADDRESS: CV��,QZ -
TTY/STATE/?A P:
.'ONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: PE_AR:
E i:MIT US E: _c- „.SI--x� Q— __, z S_ —
k Y X Y Y Y X Y X X X X X 1 Y X X Y X Y Y Y X X Y X f.1 Y 2 f X 1 Y X ! Y Y Y Y Y Y X X X Y 1 I S
BUILDING I NFORMAT ION
.s."):4TRACTOR I.I CENSE NUMBER: _ _ _ — __
UN'I'RAC7OR: PHONE: - -
•;AI LI NG A.L1)RE:;S:
' ?CiHI TECT/ENG INEER:-__ PHONE: _ —
'..0 LI NG ADDRESS:
I:I:7W: Pi--;ODEL: ADDITION: CHANGE OF USE:
`r.EI.L UNITS: &CCUPI.NT LOAD: BUILDING HGT: STORIES: ' __
UI I.DI NG I)i IfENSIONS: X (WI EMI X: I)EPTTI) SQ. FT. :_ — -
•E A I'i:D I'AfY DIG• f II?NDI CAP: Sl=nit:R (Y/N) : _ HYDRANT: _
c�03'fPAC1OR LIC;
/ y
COI I TRACTOR:
NAILING ADDRESS:
*1 *******1****t *****211** ****1212 *2**211* 212***121********2 *******222***
EECRANI CAL INFORMATI ON
CONTRACTOR LIC# :— f/g• & '3Z)
CONTRACTOR: W egePEN Apo, hoi
MA A I LI NG ADDRESS: E' .9S/O �!�/l t cm-_- .�/C O4,94'E LCI" ,rdif os :_.7
t J t
ELF.CT'RIC: GAS: OIL: CCAL: WDDD: SOI.AR: HEAT PUMP
ENERGY CODE: WSEC: NWEC: UTILITY: SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
2 2 i 1* * * i *2 i 2 *2 1 2***1 *********i******Witt ** t *********1 2****************
1•SECIiAN I CAL FEES PLUMBING FEES
f: DESCRI PTI ON NUMBER OF ITEM DESCRIPTION NUMBER OF
CESS ING FEE YES OR NO PROCESSING FEE YES OR NO •
"I'wi.)RK SYSTEM - — — WI LETS -
1DSi'OVE/INSERT SINKS
WATER IIFATE:R SHOWERS
HTG }:QUIP(100,000 ) BTU BATH TUBS -__ __`
IITG EQUIP +100,000KI TCHEN SINKS _ _— _
PIPING - t OF UNITS DISHWASHERS _ —-
I'PUMP 1-100 BTU _ __ _ GARBAGE DISPOSAL _ _
TPUMP 101-500 BTU CLOTHES WASHER
-
TPUMP 501-1000 13TU _—_--- UTI LI TY SI NKS -_-TPUMP 1001-1750 13TU ELECTRIC WATER HEATERS
TPUMP +1751 I3TU _ FLOOR DRAINS
it]G 1-100 13TU _ FI I)DR SINES
1?IG 301-500 13Th BAR SINKS
PIG 501-100 BTU _ ___ ROOF llRAINS
RIG 101-1750 BTU IJMN SPRINKLER
'RIG 41750 BTU SEWAGE EJECTOR
CONDITIONER 0-3 HP WATER SOFTENER
CONDITIONER 3-15 HP URINAL .
CONDITIONER 15-30 HP DRINKING FOUNTAIN
CONDITIONER 30-50 HP
CONDITIONER +50 HP
TI!ATI NG FANS _
P RA'1'I VE COOLERS
d►'.S Din'
r;
— — -
ED CT,S APPLTA'JCE
N14,1:R 1-10000 C1-1 _ - - -