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1987, 03-12 Permit App: 87000582 Inserts A *44,4444-4'0044-44 44444-44*4444 444 4444 44444444*4*444444444 444444****44.4 ***44-44 44444 y*y ./, .A, yyyy .y ./.INEORNNATIyCny rCRKSHEET y+ .+/ y y+ M .fit♦ y,* *************** ***************************************f**************** T***Y* * GENERAL INFORNATICN * t * 20r4 2 - 3--D 1 * * STREET ACCRE �S : G LI .L�° .a3n * * * CITY/STATE/ZIP : `)'p4AQ y\trWa_• q q 6 L * KO D fi�w� ( * SUL�� Iv I S ICn * * t3LUCK :______ LOT : ZINE :_____ _ CISIPICT4 :------- - * Y * LOT AREA : F/A : hICTN : DEP—IF : R/1g : 4 * * j CF ?LCGS : a CF !)wELLInUE : - * II II # * UWNER : I�-L�t-t�/ act.w n _ FhCNE : - - * * MAILING ADDRESS :E t lco -3&g4 * CITY/STATE/Z IP :SQ Cl r_ ____L._�)-`0 U. * * * * CONTACT : Same (-1 s C~_.booe FHCNE : - - * t * SETPACKS - FRCNT LEFT RIGHT FEAR _____ r * * PERMIT.*/, ++h LSE :�.► St "C' —\-LI-) wO --II �1r e_ptG-C-2 �-LAA-5 e 0-17-5 -tS *******i**** *y* *Y***** X*******y*********** F*********y**4-*y*4 y*********-t- * ******4******4 * t 4** ***Y* 4 4 **4**Y *****Y*******************T*******t*Y*******Y* * PLUNEINC INFCRMATION * * CONTR LIC4 : 4 * * CONTRACTCR : PFCNE :__-_-__— __ * * * MAILING ACCFESS : _—___ ____ _ * s********* **444****s***************************************************x****** * MECIANICAL INFORMATION * CONTR LIC # : - ** * * CONTRACTOR : __ ___ PhCNE : _ _ * * * * MAILING AOCRESS :_______ * 4 * ELECTRIC:_ GAS :___ CII:___ CCAL:_ h000:___ SCLAR:___ NEAT FUNP:_� * ***************************************************************s*******;**4*** **************************************************************************fit******: MECHANICAL FEES PLUMBING FEES '+4 . FLEA DESCRIPTION NUMBER CF ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NG PROCESSING FEE YES OR NC DUCTWORK SYSTEM _ - TOILETS wOCCSTCVE/ INSERT _ 2__ SINKS GAS WATER HEATER SHOWERS GAS FTG EQUIP<10C,000>BTU BATh TUBS GAS hTG EQUIP+100,000 BTU KITCHEN SINKS GAS PIPING - # OF UNITS QISH WASHERS hEATPUNP 1-100M ETU GARBAGE DISPCSAL HEATPUMP 101-500P BTU CLOTHES WASHER HEATPUMP 501-1, 000M BTU - UTILITY SINKS • HEATPUMP 1 ,001-1750P BTU ELECTRIC WATER HEATERS HEATPUMP +1 ,750M BTU _ FLOOR DRAINS REFRIG 1-100M BTU _____ FLOCR SINKS _ REFRIG 101-500P BTU »_ BAR SINKS _ REFRIG 501-1,000M BTU - ROOF CRAINS kEFRIG 1 ,001-1 ,750M BTU LAWN SPRINKLER REF1JG +1 , 750M BTU SEWAGE EJECTOR AIR CONDITIONER 0-3 HP WATER SOFTENER AIR CONDITIONER 3-15 hP _ URNAL AIR CONDITICNER 15-3C HP _ DRINKING FOUNTIAN - AIP. CCNGITICNER 30-50 HP AIR CONDITI-GNER +50 HP _ VENTILATING FANS EVAPORATIVE CCOLERS HOODS CLOTFES DRYER RANGE _ GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANDLER 10000+ CFM