Loading...
1988, 10-11 Permit App: 88003155 Pellet Stove t INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: k/ 'A) CITY/STATE/ZIP: 420( 'Q4:epi �At/= SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: r OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: //G OWNER: ifi i� PHONE: ( 9 - 9 - MAILING ADDRESS: �/' CITY/STATE/ZIP: Jz" CONTACT: PHONE: SETBACKS: — FRONT: LEFT: RIGHT: REAR: PERMIT USE: — *,t,-*** c****xytYr1cx7kft********X************lt*********7txltyt*****fcicyticicYr********** s**,- BUILDING INFORMATION CONTRACTOR LICENSE ER: CONTRACTOR: PHONE — MAILING ADDRESS: ARCHITECT/ENGINEER: , PHONE: — — i /' MAILING ADDRESS: NEW: REMODEL: ITION: CHANGE OF USE: DWELL UNITS: OCCUPANT AD: BUILDING : c : STORIES: ' BUILDING DIMENSIONS: X (WIDTH X DEPTH) I. FT. : REQUIRED PARKI I HANDICAP: SEWER (Y/N) : ► ' _ : PLUMBING I2ORMATION CONTRACTOR LIC# : CONTRACTOR: MAILING ADDRESS: *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: /_ /-,>/_. ( C% C / 73 4 CONTRACTOR: r / < C_ //-774ilL � f t (. I ! MAILING ADDRESS: /� /�/ /_%(l f FG(`_ f� C /iC> /i,. ELECTRIC: GAS: OIL: CCAL: WOOD: / SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *************************************************************************** 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 ZI-4/ / SINKS GAS WATER HEATER SHOWERS GAS HTG EQUIP(100,000)BTU BATH TUBS GAS HTG EQUIP +100,000 KITCHEN SINKS GAS PIPING - # 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 ANAL AIR CONDITIONER 15-30 HP DRINKING FOUNTAIN AIR CONDITIONER 30-50 HP , AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTHES DRYER AGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM