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1990, 10-18 Permit App: 90005511 Woodstove• INFORMA".lION WORKSHEET • PARCEL STREET ADDRESS: ]\.) X03 ().)1((k -Da..) -' r I ,/�ccr, (_ /V CITY/STATE/ZIP: kct .h� �( �f'"l✓ (4 LOC,7ra SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: ' . LOT AREA: F/A: WIDTH: DEPTH: R/W: • t OF BUILDINGS: E OF DWELLINGS: WATER DISTRICT: CA AS) PHONE: 3O -�- ric) MAILING ADDRESS: ,�� CITY/STATE/ZIP: CON'T'ACT: PHONE: SETBACKS: - FRONT:__ LEFT: RIGHT: REAR: / f1��1�24,,� % 14 30 040 •. 1' E: ! J�1 I T USE :�SZ� k JC J1 �'� �C C_jr J "` r s f r I3UI LDING INFORMATION CO'iT}U,CTOR LICENSE NUMBER: CON'1'}tAC"1'OR : NAI 1.1 NG AI)IU}2E:SS : I'HCUE: ARCiHITECT/ENGINEER: PHONE: - - MAI LING ADDRESS: NEW: ADDITION: " CHANGE OF USE: DWELL UNITS: OCCUPANT IOAD: BUILDING UGT: STORIES: BUILDING DIMENSIONS: x REQUIRED PARKING: • HANDICAP:: (HI Dail X DEPTH) SQ. FT.: SEWER (Y/21) : HYDRANT: CONTRACTOR 1.1 C (: _ . CONTRACTOR: _ MAILING ADDRESS: zy • L*t*****************2*************,*****2*******************2******2***It** MECHANICAL INFORMATION CONTRACTOR LICI : `ALCoV t. / 7 n1 Frn Co 6AIp&y . - ivre e,- !- . E.93m . iofj 5 CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: • OIL: CCAL: WOOD: SOLAR:_ HEAT PUMP ENERGY CODE: WSEC: NWEC: UTI L1 TY :--- SGC: -APPROACH:- 1'HESCRST'rrvv: FQI -_ COMPONENT: SYSTEMS: tta a ftlt* *** ***2****2** ***1 *2**** *****22 *** * ********, * *** *** *** *. * 1ECIIANICAL FEES PLUMBING FEES 'I:EM 1)}':S(:RI FYION_ ROCESS1NG FEE t :ICTWi)RK SYSTEM •Dl)S'JOV E/ I NSKRT WATER HEATER IITG EQUIP(100,000)13TU JS li'1G EQUIP +100,000 AS PIPING'- t OF UNITS KATPUMP 1-100 BTU IEATI'uMP 101-500 BTU 1:ATI'UMP 501-1000 BTU EAT'PUMP 1001-1750 BTU '!:11'PUMP +1751 BTU ;FRIG 1-100 13'J'U :FRIG 101-500 BTU ,TRIG 501-100 BTU 'EEHIG 101-1750 BTU ::FRIG 41750 BTU IR CONDITIONER 0-3 RP it CONDITIONER. 3-15 HP .1 R CONDITIONER 15-30 HP IR CO:ZDITIONER 30-50 11P JR CONDITIONER +50 HP 1.!i'J'1 iJ%l'ING FANS ;:APORl.T1VE COOLERS }: IS 'DOMES DRYER AN l: E ;AS WC xl1.1 STI:D OAS APPLIANCE 1.'JCE- .312 I'.i NJ !A:R 1-10000 ''111 ,- NUI-II3ER OF YES OR NO ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS Bl:l9i TUBS KITCHEN. SINKS DISHWASHERS GARBAGE DISPOSAL CIIJII1ES WASHER UTILITY SINKS EL.ECl'RI.0 WATER HEATERS FLOOR DRAINS FI.YJR SINES 13AR S1NE:S -- ROOF DRAINS IJ.HTZ SPRItNKLER SEWAGE ELECTOR WATER SOFTENER URINAL DRINKING FOUN'TMN NUMBER OF YES OR NO