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1989, 01-20 Permit App: 89000124 WoodstovePARCEL NUMBER: STREET ADDRESS: INFORMATION WORKSHEET CITY/STATE/ZIP:/ee2..)- SUBDIVISION: BLACK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: t OF BUILDINGS: # OF DWELLINGS:WATER DISTRICT: O'e/NF_R: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: L/// / - 9af J�c. 0 SETBACKS: - FRONT: PERMIT USE:I LEFT: PHONE: RIGHT: REAR: :*s*************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CON'1'R.ACTOR : MAIT.ING ADDRESS: ARCHITECT/ENGINEER: NAILING ADDRESS: REMODEL: DWELL UNITS: PHONE: : ADDITION: OCCUPANT LOAD: BUILDING DIMENSIONS: X CHANGE OF USE: BUILDING HGT: REQUIRED PARKING: # HANDICAP: STORIES: (WIDTH X DEPTH) SQ. FT.: SEWER (Y/N) : (-"'"—x_•%/ ir HYDRANT::- CONTRACTOR CONTRACTOR: MAILING ADDRESS: PLUMBING INFORMATION X • **********************************x*******************x*******i************ CONTRACTOR LIC - CONTRACTOR: MECHANICAL INFORMATION 1=-ELCo6C173,mU /4G eo 64 E'N - e a f iv ' 1 MAILING ADDRESS: C C. 93/0 Sfra y(A P ei;ocatmtiE, 69i49,70Veol ELECTRIC: GAS: OIL: COAL:WOOD: k SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: MECHANICAL FEES -ITEM DESCRIPTI--6N -- " PROCESSING FEE YES OR NO DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP(100,000)BTU GAS UTG EQUIP +100,000 GAS PIPING --f OF UNITS HEATPUMP 1-100 BTU HEATPUMP 101-500 BTU HEATPUMP 501-1000 BTU HEATPUMP 1001-1750 BTU\ HEATPUMP +1751 BTU REFRIG 1-100 BTU ?:EFRIG 101-500 BTU :PRIG 501-1-00 BTU "_FRIG 101-1750 BTU kEFRIG +1750 BTU 2.IR=CONDITIONER-0-3 HREI. 7:R CONDITIONERr 3-15 ° HPr.-I• AIR CONDITIONER"15=30`Hr— +IR CONDITIONER 30-50 HP 7,7R CONDITIONER +50 HP gTILATING FANS APORATIVE COOLERS - ODS T • 1TIES DRY_ER4.:"4, .E=t ISTED GAS APPLIANCE -t HANDLER 1-10000 CFM PLUMBING FEES x 'S^w ITEM'-DESCRI-PTION- NULt.BER' OF RS PROCESSING FEE YES OR NO 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 SPRINKLERAJ SEWAGMEJECTORJK wArem-SOFTENERZR. URINAL ITA .. DRINKING- FOUNTAIN` .x^ Yr