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1989, 09-27 Permit App: 89003621 Insert
.. . w INFORMATION WORKSHEET ' I t I • PARCEL NUBER: (), ,M STREET ADDRESS: /. g�/ ) (r 9. ." CITY/STATE/ZIP: Q/1Cx -�T.G/. 974;z/‘ SUBDIVISION: ' BIOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: • I OF BUILDINGS:__ € OF DWELLINGS:_ WATER DISTRICT:_ OWNER: ,eyjlva2� / ___i / PHONE: L`-29 9.f— 7.5/o 9 / MAILING ADDRESS: id/1/Y :'ITY/STA'I'D./7.IP: CONTACT: PHONE: - _ SETBACKS: - FR()NT: LEFT: --- RIGHT: PEAR: I i:i:1;1 T USE: (_ I_/ / �Zzi ---e<-7— � � -- — > > rss : rs * iss * * * * * $ • : : t , x , , , , W ,** *sxsxax * * * * * x : : sxxs , , , i , ,xx: :srsst:xs** *,,: 13(17 LDI NG I NFOiLMATI01: :+': iU,(".101 LI CE.NS NUMBER: ----- PHONE: - f'Mi.)i.) NG /..1)1)P1-::,5: -- -- — L .'n=ii1 TI:CT/ENGINEER: _ PHONE: ?Y.ILI ? G ADDRESS: _ — NEW: 1:F2- 1•:F�}ODF -_ ADDITION:- — 'TINGE OF USE: L' i:LL UNIT OCCUPANT LOAD: _ BUILDING IiGT: STORIES: ' __ I UI1.I)I NG Di i'I:N:;IONS: X (WI DTH X DF:P Tl) SQ. FT. : ____ i ;;c iI1'1:D 1'AI;)'DIG:- I IUNDICAP:_ __ SEWER (Y/N) :__ IIYDZANT:__ .' . . CONTRACTOR: tf.AZLIt1G ADDRESS: 2 :::****:**::*:********:::********::\:**:::*:*****:**:***********::***: /MECHANI CAL I NFOQRMATI ON 'O2TI'RAC OR MCI : LS - - V40) cOr:I`KACIYJR: p/9‘`W G7 rr4•`eg • d A'7te is - . N n I Li NG ADDRESS: E .93/.M 34 Vw . ' S11,4,9//6 E J f ELECTRIC: GAS: OIL: CCAL: HOOD: 1 SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: _ ISI PROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: - s A**** ** * *****Y* **** * ******* *2 2 1 Y! :*:2 *} 2 ** **** *t* * Y * 2 t x *t * *f * ! h ***Y ! x* 11EClIAN ICAL FEES PLUMBING FEES J }-;S('}:I I'I'ION NUI;I3ER OF ITEM DESCRIPTION NUMBER OF �._'}: :`>I1:G FEE YES OR NO PROCESSING FEE YES OR NO SYSTEM TOI LETS - - - ;`;'IOVE/11:�'}- T A- SINKS 4: _ / I'ER IIFJ,'I'E:R - SHOWERS - - - li"I'G E2UIP( 100, 000 ) HTU BATH TUBS ----- -- ---- --- ----- FIG E2UIP 4100, 000 - KITCHEN SI1;i:5 _ - - PI PI NG - OF U!:1'I'S DI Sich'A_`:HERS _ _ _ 'UMP 1-100 B'I'UGARBAGE DI Si•O I1L •i1!•1I' 101-500 ITU CIIJ'I'2IES WASHER ?,':';'Ut•SP 501-1000 BTU 11'1'11,1'1'Y SI NKS i'll.'SI' 1001-1750 BTU -- - ELECTRIC WATER HEATERS U P +1751 HTU FI AOR DRAINS riG 1-100 BTU FIODR .SINKS - • I G 101-500 BTU - BAR S1t:I:S --- - 2 I (; `i01-1 00 BTU _ ROOF D ZAINS - _ - 1 I G 101-1750 BTU LAWN SPRINKLER - --- 'I- 1G i1750 BTU KA SI. GE EJY.Ci'OR CONDI TI ONER 0-3 IIP ----- ---- WATER SOFI'-2 ER — ------- C'•J':i)IT1 ONER 3-15 HP URINAL . --- :? C'"-)':DITIONER 15-30 HP I RINKJNG FOUNTAIN c�_,:;i)iT7G::ER 30-50 HP -' ------ C ':WTI O:.t_R 450 11P _- , .ATI I t:v 'L1:S -1--- • 1.';,'i I VE; CY)L};.'S I -'il:R - — - �; l.i ') (''