1988, 09-18 Permit App: 88002822 Pellet StoveINFORMATION.WORKSHEET
PARCEL NUMBER: V583 - 0//!6
STREET ADDRESS: F 1,936g- 9 /4
CITY/STATE/ZIP: 5®0 /Ct/I /�} 9V-2./ Z
SUBDIVISION:. SPMk7 f}bj.
BLACK:
LOT.. AREA:
LOT: ZONE: AS DISTRICT:
F/A: WIDTH: Sb DEPTH:/'L% R/W:
# OF BUILDINGS: # OF DWELLINGS:
WATER DISTRICT:
OWNER: kli(,(,/'BnGE/ �-fl 5/\) PHONE: sag -535 - VS -Le
5
MAILING ADDRESS: (4301 1{4 C�j ��cc77
CITY/STATE/ZIP- SPQKCtntt NA 792a p
CONTACT: PHONE: 509 -.535- 22061
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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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:
CONTRACTOR LIC*:
CONTRACTOR:
PLbMBI G INFORMATION
MAILING ADDRESS:
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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:
Xxxxxx}xxxxxxxxxxxxxxxxxxxxxxx************xx;xxxxxxxxxxxxxx xx*xxxxxx** **
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 SINKS
GAS WATER HEATER SHOWERS
GAS HTG EQUIP(100,000)BTU BATH TUBS
GAS BTG 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