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1989, 04-03 Permit App: 89000680 AdditionINFORMATION WORKSHEET PARCEL NUMBER: 33510-.2c1/3 STREET ADDRESS: S 35ol ti4/ / l F�grf CITY/STATE/ZIP: SO��P— IA/a2 7q„2o 6 SUBDIVISION: /11 061 /0M 2 BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: * OF BUILDINGS: 1 OF DWELLINGS: WATER DISTRICT: OWNER: PHONE: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: SETBACKS: – FRONT: N fr LEFT- el%Si RIGHT: NVQ REAR: Nix ' PERMIT USE: — I NI (NJ C ' i o D rr (D N ****************************************************************************** '",''BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: GTRp,ce.0 CO N CONTRACTOR: pU MAILING ADDRESS: PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION:____ CHANGE OF USE: DWELL UNITS:• OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: rR X CZ_ (WIDTH X DEPTH) SQ. FT.: 8 1 REQUIRED PARKING: 1 HANDICAP: SEWER (Y/N): HYDRANT: 57.5(5?.' n.cwi cnr1 1 /PR CONTRACTOR LICµ: CONTRACTOR: IP PLUMBING INFORMATION MAILING ADDRESS: ***x***x*xxxx****xxrxxxxx*xx*xx*x***x**xx**x******xx**xx*x**xx*xx*x*x**x**x MECHANICAL INFORMATION CONTRACTOR LICt: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: .PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:':'::. <. x*x*xx***xxxxxxxxxxxxxxxxxi**********:xx:xxxx:xxxxxxxixxxxxxxxxxxx******xx MECHANICAL FEES PLUMBING FEES ITEM' DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER 'GAS•HTG EQUIP(100,000)BTU GAS:HTG-EQUIP +100,000 GAS -PIPING - j OF -UNITS HEATPUMP 1-100 BTU HEATPUMP 101-500 BTU HEATPUMP 501-1000 BTU •HEATPUMP'1001-1750 BTU • HEATPUMP +1751 BTU REFRIG 1-100 BTU REFRIG 101-500 BTU REFRIG so1-ioo BTU REFRIG 101-1750 BTU REFRIG +1750 BTU AIR CONDITIONER 0-3 HP AIR CONDITIONER 3-15 HP AIR CONDITIONER 15-30 HP 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 NUMBER OF YES OR NO ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS. KITCHEN SINKS DISHWASHERS. GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS RTPCTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS.. LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBE[Z OF YES OR NO .,2 Nor -t% i ocr1y L.iNG--Ai 1 S�.cv Wwl k $s' Ee- !Ott i< Fp,-� C04.,arc 1 S a, et