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1989, 03-09 Permit App: 89000440 Woodstove
440 PARCEL NUMBER: • INFORMATION WORKSHEET STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BIIILDINGS:: # OF (DWELLINGS: WATER DISTRICT: OWNER: Carj g• Nf� )kwk r 'U\ ( (VePHO(NE: 5O -%iC( - 32_26 S ' MAILING ADDRESS: . 6l5 /ddcVCCa( k CITY/STAT ZIP: CONTACT: OA/5 mak; ,k- war 99120• 4,J6rl(f PHONE: cd % - 9 -"?2C 03ove m o i G'2cf - 2 3 13 SETBACKS: - FRONT: • LEFT: RIGHT: REAR: PERMIT USE: CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION PHONE: 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 INFORMATION CONTRACTOR LICE: CONTRACTOR: MAILING ADDRESS: MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: CCAL:-WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: MECHANICAL FEES ITEM DESCRIPTION ER OF PROCESSING FEE / YE9 OR NO DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER CTAS HTG EQUIP(100,000)BTU G'S HTG EQUIP +100,000 GAS PIPING = # OF UNITS H:ATPUMP 1-100 BTU ' HEATPUMP 101-500 BTU HEATPUMP 50171000 BTU HEATPUMP 1001-1750 BTU HEATPUMP +1751 BTU REFRIG 1-100 BTU REFRIG 101=500 BTU REFRIG 501-100 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 PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS .ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBER OF YES OR NO