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1989, 09-25 Permit App: 89003593 Wood Stove I N FOI:IYIATI ON WOK-SHEET I 1 t 1 PARCEL NUMBER: STREET ADDRESS: ;.. ./.9/.? (../...e.i.e_..6 CITY/STATE/ZIP: .1- &e."4,--}Krzi 'L= Z SUBDIVISION: . . BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: OF BUILDINGS: C OF DWELLINGS: WATER DISTRICT: OWNER: 52, !-- --) -0 • PB ON E: k...502-,5:SV- ./0---9 " . i AILING ADDRESS: ' V iTY/STATE/ZIP: C.)NTACT: PHONE: - _ :;ETDACKS: - FRONT: LEFT: RIGHT: REAP.: _ ii:M1T USE:'- - ;i6 a e_ ",e) (9/---- v*L D?G 4-GO . d d , , , , , , * * * * * * * * * * * * * * * 221tIt2 1.2.22. 112, 222 * * * * * * * 2115 * * * * * * 2122221V2221t * *2** * 22152 PM LDI NG I N i-M.MAT 1 ON . _ flZACTOi: LI CENSE NUMBER: '.'..)NTAY'isi.) : l'HUNE: — — r11.1NG Al)DPEI;S: '`'ii I TECT/1-24GINEER:._ ____ PHONE: — — !:'.1 I.1 NG ADDRESS: 1 NEW: RFTV)DEL: A DDI T .`,I• CI1ANGE OF USE: I -,T,T,T, UN PIE':: OCCUP LOT.D: DUI -)I NG liGT: S TOP I F-S: ' ____ _ ii i.ui t:C.; Di HENSIONS: X (WIDTH : DEPTH) SQ. rr_ : _ I :çi I 1'ED PAIT I NG:_ I HINDI CAP: SEWER (Yin _ HYD:7ANT:_ 1°:4v4a4ae.) .0.1,,ed 4ab;ee- 'le-46, A) dtt- ',, ieje/U a _ CON'T'RACTOR: MAILING ADDRFSS: *****x******x*tt***x***!*:*tx*xtt!! x*t::****::********ltlt**********! (MECHANICAL INFORMATION CONTRACTOR LI C I : L.� _ A J CONTRACTOR: 49Z - ' Q MA Q A I LI NG ADDRESS: .9S%�E J ' ;S�eirIc t f J ELECI'RIC: GAS: OIL: CCAL: WOOD: / SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY:_ SGC: APPROACH:- PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: , s , s s s** s * * ** s**s* s * * *, S ** s** ** ** * ***** ** ** s* ********* * ** * * ** * * * * * * **** * ** M'r:CHANICAL FEES PLUMBING FEES •- N DESCRIPTION NUMBER OF ITrN DESCRIPTION NUMBER OF C►s:'}:` SING FEE YRS OR NO PROCESSING FEE YES OR NO i(..1' 'JRF, SYSTEM - - `10I LETS -- - • 0I)1;" OVE/I NS.ERT _ _ _ 5I NES - WATER HEATER :ii1"ri::RS H7'G EyUIP( 100 , 0.)() ) 1)10 TUBS ' S IITi`G EQ1)11, 4 100, ( UO RI CJIEN :TI NES ' S PIPING - t OF U':1 TS DI Si.k'7L:NIEBS • ?-.i `UMP 1-100 HIMG).PRAGE DI Si•^0SAL - •:ATi'UMP 101-500 11'U - CII_IT11ES %-7•.;;iiER - _ - -. TRUMP 5(11 -1000 BTUU UTI LI TY SI NUS - •:l,'i'i'U.'•:P 1001-1750 D'i'U ELECI'i<IC WATER HEATERS -- ------ - - - • '.`i't't U P 41751 PTU F'I MR DRAINS •':'i- 1G 1-100 BTU }'I%)")R SIN}:S -"}'I G 101-500 BTO U I G !)01-100 BTU }',-1-)'r DRAINS • - FR 1G 101-1750 BTU I.'.:,N SPRINKLER _ .FPI G 41750 BTU - - : i-.-7.GE EJECTOR }' C:iNI)I'1'1ONER 0-3 E}' i'ATRR Si'M-'I'P ER -- N c )NDITIO!UCR 3-15 liP UPIN/'.L - I•: OT)!:I)ITIGNEI: 1.5-30 HP Dr<INRI NG FOUNTAIN --- N `__- --- C ' DI i'IONER 30-50 IIF' '� 4 _50 FP ---- :1 ] I.7,'i'JNG }'ANS ___-__ ; ;LI !:', ..1T) (;t.; A-}'T,11 ':