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1988, 10-24 Permit App: 88003373 Insert
PARCEL NUMBER: INFORMATION WORKSHEET 054/ / - ///6/ 33-73 STREET ADDRESS: ;'2.),o, e.-4 L/ CITY/STATE/ZIP:�Q�C� /QJ, 9yo2e74 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: t OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: IrtDQ)CfT OWNER: MAILING ADDRESS: PHONE: 1 j-/,/ R,?>/ / /57 CITY/STATE/ZIP: CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: �i�1SQ��fJ ***x*********x**xx******x*************x*x****x*******************************x CONTRACTOR LI SE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION ARCHITECT/ENGINEER: MAILING ADDRESS: DWELL NEW: REMODEL: PHONE: ADDITION: CHANGE OF USE: OCCUPANT LOAD: BUILDING T: STORIES: BUILDING DIMENSIONS: X (WIDTH X D' : SQ. FT.: REQUIRED PARKING: HANDICAP: SEWER (Y/N): RANT: CONTRACTOR LICA: CONTRACTOR: MAILING ADDRESS: PLUMBING INFORMATION r�r r 4 t***tt**t**ttstststttttsttttttttttttttttt ttstss******tttttstttstttstttstst MECHANICAL INFORMATION CONTRACTOR LICA: EEL eOGC / 7349a 7-46 co 6)9456'1V eg/V iC/C, ziVC g. 93/0 Sprague s /rn 9%20L CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL:_ CCAL: WOOD:A' SOLAR: HEAT PUMP ENERGY CODE- WSEC: NWEC: UTILITY: $GC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: ssssstssssstsftststsstssssssssrssstsssssts*stt s ***thus** rstttsssssssrsttt;* MECHANICAL FEES PLUMBING FEES YTEM-DESCRifiLuN""-NUMBER-OF— --ITEM DESCRIPTION NUMBER"'OF- PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS BTG EQUIP(100,000)BTU GAS HTG EQUIP +100,000 GAS PIPING - A OF UNITS HEATPUMP 1-100 BTU HEATPUMP 101-500 BTU HEATPUMP -501-1000 BTU HEATPUMP 1001-1750 BTU HEATPUMP +1751 BTU REFRIG 1-100 BTU REFRIG 101-500 BTU REFRIG 501-100 BTU REFRIG 101-1750 BTU REFRIG +1750 BTU AIR CONDITIONER 0-3 HP AIR CONDITIONER 3-15 HP AIR CONDITIONER 15-30 HP AIR CONDITIONER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS 'LATHES DRYER ANGE ;AS LOG WAISTED GAS APPLIANCE +IR HANDLER 1-10000 CFM TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER DRINKING FOUNTAIN