1989, 09-14 Permit App: 89003376 Pellet Stove Ll
I2:FUI:Y:4.T'TO2 WORF:SHF 'T (U`
I RCEL NUMBER: 1 61/Q---- -3O `' V
STREET ADDRESS: //G%? (J i1 (/ ,3
CITY/STATE/ZIP: %A 2-6 /49 / ;Q77. ---
SUBDIVISION:
BIOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
OF BUILDINGS: € OF DWELLINGS: WATER DISTRICT:
e'---Se'---SF-LA {k/ "6117 PHONE: - • o _C/l//
3/
MAILING ADDRESS: _�iliL A
i /STATE/ZIP: - - —
C JNTACT: PHONE: - -
:;'-TBACKS: - FRONT: LEFT: RIGHT: REAR:
i '
= s s 7 Y f. k f. ! 1 k * k } k $ * * k ! t k X X* X*XXX*X I i k k k Y ? Y X X*k k k I I I X I I X X X***X***k'*X*X*X I*X k ****X
Bill LDING INi ORMATION
•:ITIlAcTOR I.ICi- . - NUMBER: -
c, ) �'FRACTUR: PHONE:: -
?:/.II.ING A.I)I)PESS:
A.,CHI'FECT/ENGINE_ER: __ •NE: - —
WILING ADDRESS-
NEW: REMODEL: ADDITION: CHANGE OF USE:
PWELL UNITS: OCCUPANT LOAD: BUILDING BGT: STORIES: .
LUII.DI NG UI M -:21SIONS: X (WIDTH X DEPTH) SQ. FT. :
PrQlIPED PARf_ING: - f HANDICAP: _ SEWER (Y/N) :__i HYDRANT:- -
c't" N,CRACTOR LIC# :..
CONT'RAC`I'OP, •
•
MAILING ADDRESS: �\
*xxxx#xsxxxxxxsxxxx#xxsxsxs*xx*#x#s#*sxxxxxxx*#s#itxst#s*s*sx*xs#sssxs:#ss
MECHANICAL INFORMATION
CONTRACTOR L` -
CONTRACTOR LIC# : F10
CONTRACTOR: , d?L C' ) v-'AeP /fri . C'� !� ,�'�. 4( -
MAI LING ADDRESS: 1 �� ,SY .;mac . _r / �f �`7/ !I//7 �g6 Q ir
ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP
ENERGY CODE: WSEC: NWEC: UTILITY: _ SGC:
APPROACH PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
MECHANICAL FEES PLUMBING FEES
TEM DESCRIPTION NUMBER OF ITEM DESCRIPTION NUMBER OF
ROCESSING FEE YES OR NO PROCESSING FEE YES OR NO
;ICTWORK SYSTEM TOILETS
.)DSTOVE/INSERT
SINKS
WATER HEATERSHOWERS _
HTG EQUIP(100,000)BTU BATH TUBS _
GAS IITG EQUIP +100,000 KITCHEN SINKS
GAS PIPING — # OF UNITS DISHWASHERS -HEATPUMP 1-100 1-100 BTU GARBAGE DISPOSAL
HEATPUMP 101-500 BTU CLOTHES WASHER
HhA'T'PUMP 501-1000 BTU UTILITY SINKS
i•:EATf'UMP 1001-1750 BTU ELECTRIC WATER HEATERS
'EATPUMP +1751 BTU FLOOR DRAINS
::FRIG 1-100 BTU _ FLOOR SINKS
,r.*RIG 101-500 BTU BAR SINKS
:FRIG 501-100 BTU ROOF DRAINS
:'.F:FRIG 101-1750 BTU LAWN SPRINKLER
r:FRIG +1750 BTU SEWAGE EJECTOR
IR CONDITIONER 0-3 HP WATER SOFTENER
R CONDITIONER 3-15 ITP URINAL . .
JR CONDITIONER 15-30 HP DRINKING FOUNTAIN
' IR CONDITIONER 30-50 RP -
.IR CONDITIONER +50 ITP
'ENTILATING FANS
NAPORATIVE COOLERS
IRDS
LO`IHES DRYER
ANGE _
AS LOG
NLI PED GAS APPLIANCE -- __.—
aI R !HANDLER 1-10000 CEM __