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1990, 10-02 Permit App: 90005039 Pellet Stove 496 a;2 5f-'919 INFORMATION WORKSHLET �, c ' i PARCEL NUMBER: -- a�f . 'f�t/l—S STREET ADDRESS: Fes- �� t�. 1 S. Ma- - - CITY/STATE/ZIP: 44kn C. V,..)-c\-- P. I I SUBDIVISION: ,S/o.?.(4" A ,., /0 .91// 1) BLACK: LOT: ZONE: DISTRICT: /111) F "l LOT AREA: F/A: WIDTH: DEPTH: R/W: OF BUILDINGS: € OF DWELLINGS: WATER DISTRICT: , /Jam, OWNER: (100, 1 ' J -- - w '. P L . 1 � 3 " L ..21-Ci . ►V PHONE: .0 - ti•D3 63 MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: I 04t- SASUV - , , * * * * * ** * * * ** *, * * *** *x**aaaaa********************************************x BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CO1Ti'RACTOR: 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: 1 HANDICAP:" SETTER (YIN) : IIYDRANT: - ..C.ealiae) ide7i7d} 40f)X, , . C_N TKAC"1•)R LI C{ : /`' • - CONTRACTOR: _ _ MAILING ADDRESS: � � • * ************************************************************************ MECHANICAL INFORMATION CONTRACTOR LIC# : j . KY CON`i'I:AC`I'OR: P//`Co ej f4? PtAf /�•- � =� MAI LI NG ADDRESS: £ .73/6 Sf'eec e_e ' AVO• e- 4457 -9:046• -.Lt, ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *.. * x * s k****************** ***i**** ********** *** *********!t*x* ****X**** * ***** MECHANICAL FEES PLUMBING FEES ITEM DESCRI PTI ON NUI BER OF ITEM DESCRIPTION NUMBER OF ROCESS1NG FEE YES OR NO PROCESSING FEE YES OR NO icTrh)RK SYSTEM `IOILE`1S 7)1)STOVE/ NS ERTSINKS -- WATER HEATER --- - SHOWERS 1ITG EQUIP( 100, 000)BTU BATT `PUBS - --- (:;LS HTG EQUIP +100,000 Ki TCHEN SINKS _ - SAS PIP'NG - t OF UNITS DI SHWASUERS -- - EATFUMP 1-100 BTU GARBAGE DISPOSAL - IiEATPUMP 101-500 BTU --- CLOTHES WASHER Ni:ATL'UMP 501-1000 BTU UTILITY SINKS i;EATPUMP 1001-1750 BTU -- ELECTRIC WATER HEATERS 'EF•,'1'1'tir•1P +1751 BTU - FLOOR DRAINS :I'LZIG 1-100 BTU FLOOR SINKS - :YR I G 101-500 BTU IBAR SINKS ---- :FY IG 501-100 I3'nl ROOF DRAINS '.F:I RTG 101-1150 UTU ISAWN SPRINKLER EFRIG 41750 I3TU SEWAGE EJECTOR '. H CONDITIONER 0-3 IIP WATER SOPIEL:ER K CONDITIONER 3-15 IIP URINAL .1 R CONDITIONER 15-30 IIP _ DRINKING FOUNTAIN I R CONDITIONER 30-50 HP _ _ :,T R CONDITIONER +50 HP •'i:NT]hATING FANS : P()RATIVE COOLERS t.)1);1-, I/J11iES DRYER AN GE - A S LOG !!.;LISTED (;)AS APPI,TT.'ZrE 1. ' f' ?:i)!.!:!? 1 -I ()u