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1988, 01-15 Permit App: 88000068 Sink INFORMATION WORKSHEET OS-68 PARCEL NUMBER: r� � /� ) r STREET ADDRESS: W"cri At-t),eb CITY/STATE/ZIP: °"/ A/ C.1--°' � SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: ie/L L d 42)/„.64Q,/„e PHONE: —50 — 9 /— //®9CQ MAILING ADDRESS: =6'7/77t-- CITY/STATE/ZIP: CONTACT: PHONE: — — SETBACKS: — FRONT: LEFT: RIGHT: REAR: PERMIT USE: ,;ti;. taL� #.11a(RwAtbk SN� ****************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: — — MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: — — MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: PLUMBING I NFORMATY N IQ 8/E /X38 CONTRACTOR LIC*: WJE'ei'c /7 /'8 AO CONTRACTOR: Jt- MAILING f- 7� ;',"!6MAILING ADDRESS: E. / 4/4//4-/ f?, )i/y' *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: COAL: 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 OF NO DUCTWORK SYSTEM TOILETS WOODSTOVE/INSERT 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 URINAL AIR CONDITIONER 15-30 HP DRINKING FOUNTAIN 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 100004'CFM