1987, 09-02 Permit App: 87002867 Deck, Remodel ******************************************************************************
* INFORMATION WORKSHEET *
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* PARCEL NUMBER: ti *
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* STREET ADDRESS: ,....-51,76e, / - f'`/ *
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* CITY/STATE/ZIP: vpok�77, lL/,'/ *
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* SUBDIVISION: *
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* BLOCK: LOT: ZONE: •T r' DISTRICT: *
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* LOT AREA: F/A: WIDTH: DEPTH: R/W: *
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* # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: *
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* OWNER: //OL Ii,,oeJD <514,-,LLS PHONE: - > — lc?.l 2_ *
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* MAILING ADDRESS: ,�..S: 6 i‘7"(1
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* CITY/STATE/ZIP: S"4,4i7A— /�/4 *
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* CONTACT: PHONE: - - *
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* SETBACKS: - FRONT: LEFT: RIGHT: REAR: *
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* PERMIT USE: 'NL l.-C" F IST{v G 0 cK i tt1/41,I P,eMC.2L. • .: *
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* BUILDING INFORMATION *
* CONTRACTOR L I C ENS NUMBER: C O,'I t�,Ac 7v, 7—;,,l/ES *
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* CONTRACTOR: PHONE: - *
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* MAILING ADDRESS: *
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* ARCHITECT/ENGINEER: PHONE: - - *
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* MAILING ADDRESS: *
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* NEW: REMODEL: ADDITION: CHANGE OF USE: *
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* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: *
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* BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : *
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* REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: *
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PLumeING INFORMATION =
• CONTR LICA = *
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* CONTRACTOR : PFCNE :
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* MAILING ACCFESS :
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* ME(.I-ANICAL INFORMATION
* CONIR LICA :
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* CONTRACTOR : FFCt'E :
* MAILING ACCRESS :
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* ELECTRIC :__ CAS :___ CIL :___ COAL :__ W060 :___ SCLAR :___ FELT FUNP :___
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MECHANICAL FEES PLUMBING FEES
IIEm DESCRIPTION NLKBER CF ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NG PROCESSING FEE YES OR NC
DUCTWORK SYSTEM — TOILETS
wOCCSTCVE/ INSERT SINKS
GAS WATER HEATER SHOWERS
GAS NIG EQUIP<10C,000>BTU BATS: TUBS
JAS hTG EQUIP+100,000 BTU KITCHEN SINKS
GAS PIPING — N OF UNITS _ DISH WASHERS _
HEATPUMP 1-loots eTU GARBAGE OISPCSAL ____
HEATPUMP 101-500V BTU CLOTHES WASHER
HE ATPUMP 501-1, 000M BTU • UTILITY SINKS
HEATPUMP 1 ,001-1750►'. 8TU ELECTRIC WATER HEATERS ____
HEATPUMP +1 ,750M BTU _ FLOOR DRAINS _
REFRIG 1-100M BTU FLOOR SINKS _
REFRIG 101-500M BTU _ _ BAR SINKS
REFRIG 501-1,000M BTU ROOF CRAINS
REFRI(, 1,001-1 ,750M BTU _ LAWN SPRINKLER _
REI-RIG . +1 , 750M BTU . _ SEWAGE EJECTOR _
AIR CONDITIONER 0-3 HP _ WATER SOFTENER _
AIR CONDITIONER 3-15 hP URNAL ____
AIR CONDITIONER 15-3C HP DRINKING FOUNTIAN
AIR CCNC.ITICNER 30-50 HP _
AIR CONOITI-GNER *50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTS-ES DRYER
RANGE _
GAS LOG
UNLISTED GAS APPLIANCE _
AIR HANDLER 1-1000C CEM
AIR HANDLER 10000+ CFM