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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: xxxxxxxxrxxrxxxxxxxxrxxrrxxxxxxxxrxxxrrxxxxxxxxxxrrr x x rx r xx x x xx xxr xx xxx xxxxxxx 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: zzxxxxxxxxxxxxxxxxzxxxzzzzzxxxxxxxxxxxxxxxxxzxzxzzxxxxxxxxxxxxxxxxtxxxxxxxx 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