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1987, 10-26 Permit App: 87003631 Heater, Piping• • tar**:4*tai-*****:.*********4**t*sok*****t**tk't******t*ria****s* **e4***t**i*c***' * INFURM,ATICN WCRKSHEET * * GENERAL INFORMATION * * PARCEL NUMBER: * , Gt' w /dc, - * _ * STREET ACCRES:_�.J/ 4;6111 ki/it * • * CITY/ST ATE/ZIP:__ &Mt `44 (ifAg !9a OF * * * • SUBCIVISICN: * * BLOCK:__—___ LOT: ZCNE:___ CISIFICT#:____ * * * * LOT AREA: F/A: - WIDTH: lee DEPTH: R/W: * * * 4 CF BLCGS: 4 CF DWELLINGS: * /_ * * 0WNER,: JA, vete___--iL�0 /L_ ,n V v * MAILING ADDRESS: 21 i OS' -al/ ko cc, Gf * • CITY/STATE/ZIP:c,.�O/t ^c.cG[-/o &e�(.._.____2_22d'4 * * * • CONTACT: RHONE: - - * t * A SETBACKS - FRONT LEFT RIGHT FEAR • * I• PERMIT LSE:* _ * ********4*****************************************************************t*** FhCNE:51-6_7 • PLUMBING INFORMATION 4 CONTR LIC#: * CONTRACTCR: A PHONE:____-__ it I-CNE:____ __ t MAILING ADCRESS: • 44*4******4*44***44******4******4***************************************4***•* * MECFANICAL INFORMATION t * CONTR LIC#: * • * * CONTRACTOR: PECNE:____- 4 * 4 MAILING ADDRESS: * • * 4 ELECTRIC:_s— GAS: •1 'CIL:_— CCAL: — WOOD: CCLAR:___ FEAT FUN.P:_— * 4*******4*****44**44****t•********t****************4****•***.444444****44*44*** ********************** *******##+k l #** ###### ### ill**************** *********r. 411CHANICAL FEES PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOCCSTCVE/INSERT GAS WATER HEATER GAS HTG EQUIP<100,000>BTU GAS hTG EQUIP+100,000 BTU GAS PIPING - # OF UNITS HEATPUMP 1-100M BTU HEATPUMP 101-500M BTU HEATPUMP 501-1,000M BTU HEATPUMP 1,001-1750M BTU HEATPUMP +1,750M BTU REFRIG REFRIG REFRIG REFRIG 1-100M BTU 101-500M BTU 501-1,Q00M BTU 1,OO1.71.750M BTU REFRIG +1,750M BTU AIR CONDITIONER 0-3 HP AIR. CONDITIONER 3-15 hP AIR CONDITIONER 15-3C HP AIP. CCNCITICNER 30-50 HP AIR CONDITFGNER +50 HP VENTILATING FANS EVAPORATIVE CCOL.ERS HOODS CLOTFES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANDLER 10000+ CFM NUMBER CF ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS \ SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GARBAGE DISPCSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOCK SINKS -- BAR SINKS ROOF GRAINS LAWN SPRINKIF,R SEWAGE EJECTCR -WATER SOFTENER URNAL DRINKING FOUNTIAN NUMBER OF YES OR NC