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1990, 11-06 Permit App: 90005938 Wood Stove INFORMATION WORKSHEET ) r • 4 ' + $ ?ArtCEL NUMBER: C -9.d C a ;MEET ADDRESS: , I 0? e• 1 .ITY/STATE/ZIP: i• -,k r,% ' . .1' SUBDIVISION: BLOCK.: LOT: ZONE: DISTRICT: . .� , LOT AREA: F/A: WIDTH: DEPTH: R/W: • OF BUILDINGS: € OF DWELLINGS: WATER DISTRICT: h /r/ 7:.'t:E_R: �Q Ale Y PRONE: 505061 - 5 - .--/ 4 _ `TAILING ADDRESS: SOCIY1 T' ;1TY/STATE./ZIP: CONTACT: PHONE: — — SETBACKS: — FRONT: LEFT: RIGHT: REAR: Rzi 1T USE: Tir1- 4--0-11.C77i � ,2100 "i L • xxtxxxx *xxx*xu*x**x**x*Rfsa BUILDING 1NFORJ AT1ON L'i)N•i•IU,C•POR LICENSE NUMI3ER: — :'ONTRAC i\JR: I'1ICNE: — — '4)%I IA NG ADDRESS: --- MtCI1ITCCT/ENGINEER: PHONE: — — •••)%I [.I NG ADDRESS: NEW: RI-ZIODEL: ADDITION: ' ' CHANGE OF USE: LY.+F;I.L UNI'1• OCCUPANT IOAD: BUILDING IIGT: STORIES: • BUILDING D1liENSIONS:` X (WIDTH X DEPTH) SQ. FT. : • i(EQU I NED 1'ARK I NG: ( HANDICAP:• SEWER (Y/tl) : HYDRANT: CO:1'i RACh)R 1.7 C( : ___ - '• • CON'I'RACIOR: '� 7 MAILING ADDRESS• / - r � l****************::::::::*****:::*****a**********at**:fie***************aa* MECHANICAL CAL INFORMATION CONTRACTOR LIC1 : ;L - 3 U CONTRACTOR: F./9Z CO G7 /' ../eYf2 . 8G.ilYme .7;4 c ' - T ` `- • MAI LING T.UDPYSS: Lc' 9, l3 S,/PNGf _I,1 -'_.S'fdelfAte. �.7:,702e- 6 •_ -> � ELECl'RIC: GAS: OIL: CCAL: WOOD: x SOIJ.R: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH:- PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: R 7 s s.**********s s s s s::s :a:s.**fc a s.:**:*WWI * s s s*ft**s s s s*s s*:*** s s s.Mg * * * 11EC13ANICAL FEES PLUMBING FEES EM DESCRIPTION __ __N_UMBER_OF_ ITEM DESCRIPTION NUMBER OF :).:-}:SS1 NG FEE YES OR NO 1'ROCISSI NG FEE YES OR NO L"J WoRK ::Y:;T1•:M 'IVI LETS �I)57U'JI:/11::}:}ZT — SI t1KS WATER 11}-' f1•:R _ . }SOWERS 3 1ITG J•QU1P( 100, 000)13TU 137.'I'11 TUBS S 1ITG -EQUIP + 100, 000 }:1TCHEN. S11:1;5 __ _ S PIPING - € OF UNITS DI SIIWA_MUERLS - TUMP 1-100 }3T0 -_—_ _ GT.PRAGE DI SOSAL 1' --_ AT PUMP 101-500 BTU CIIJI'l3FS WAS IIER A1'PUMP 501-1000 BTU UTI 1,1 TY SINKS __ __ _ A'1'PUMP 1001-1750 wry ELECTRIC WATER HEATERS A'r1'UMP +3751 BTU — FLOOR DRAINS !•'}17 G 1-100 BTU Fl OOR SI NES F1'.1G 101-500 13TU 13AR SINKS — FF 16 501-300 BTU ROOF DRAINS ,11c1G 101-1750 13'1'U IJ.1.111 SI'RINKLFR FR I G -1 17 50 13TU SEWAGE E.J Ec-rnR U ('ON1)1.1ONER 0-3 HP _ WATER SOFT EN 11ER U CONDITIONER 3-15 P _ URINAL R CONDITIONER 15-30 HP DRINKING FOUNTAIN U CONDITIONER 30-50 11P R CONDITJOIER 450 HP .!:T1 I.ATI HG FANS 'LI'O;?R'I'1V1: COOLERS /111iE.S DRYER.5 lir — - ` tl.l ::'l }:1) (:).; 1,P1'1.1 T'4'7E IZ tj ' . _. !:I•!.%:R 1 - 1 fl t)p