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1987, 03-10 Permit App 87000562 Storage BldgINFORMATICN WCRKSHEET * GENERAL INFGRMATICN * * * PARCEL NUMBER a a*STREET T A C C R E S S :_ �=L�S1�'�n OJ6��-�----------------------------- a 5 TRE E __ a * * n SUB CIVISIGN:�OB�u 1O__42&w&-S-------------- —------- --- Q' a a * a BLOCK:__(--- LOT :_-/ ZCNE:_— ---- * LOT AREA: ....... F/A:----- — WIOTH:---- DEPTH: _---___ R/b:------- s * * # CF BLCGS:# CF DWELLINGS:-__---- ------- a * �--1------- # OWNER : —--- -------- * MAILING ADDRESS: -------------------------- ------ - * CITY/STATE/ZIP:---------------------------------------------------- * a * _ CONTACT: ----------------- F H C N E :----_ --- ---- --- -- * * SETBACKS - FRCNT LEFT -- RIGHT ----- FEAR * x * PERMIT ISE:--------------------------------------------------- * BLILCING INFGRMATICN * CONTR L IC # : In ��y_L4_------- � � aa PHCNE:____-1-/7 * * * MAILING a * MAILING ADCRESS:A[-a-goi,��8Z-wq---------- a * * * a * NEh: ✓ REMODEL:— ADDITION:-- CHANGE CF USE:— a * * DWELL UNITS:_____ OCCUFANT LGAC:—__ BUILDING HGT:_$'-_ STORIES:--- a * BUILCING 01PENS ICNS:_��—X _— (WIDTH X DEPTH) SCLARE FEET: a ° a * REQUIRED PARKING:____ #HANDICAP:---- SEW RANT (Y/N):_— a # a w * MCBILE FCME INFCRNATICN CONTR LICK:-------------------- - ---- --- * * * CONTRACTOR:_______-____-_ PHCNE:---_ --------------- -_ - * MAILING ACCRESS:--------------------------------- # * PREVIOLS ADDRESS:------------------------------------------- * * * LOCATION:__-_-- PARCEL NLNBER:---- --------------------- * STREET:----------------------------------------------- * x * CITY/STATE/ZIP:---------------------------------------------- # * * * MAKE:------------------------ MCDEL:----- ------ -------- * * * SEPIALA:_-________________________ MIDTF:_-_- LENGIF:---- * RELCCATICN INFCRNATICN * CONTR L I C k :-------------------------- * C O N T R AC T C R:---------------------------------- P F C N E:---- --- ---- * * # MAILING AJURESS:----------------------•-----------------------------• # * * PREVICUS ACUPESS:---------- --------------------------------------- * # * LCCATICN:_____- PARCEL NUMBER:______--_______-_--______-_ * T * STREET:------------------ - ------------------- * * CITY/STATE/ZIP: ------------------------- -------------------------- * SIGN INFCRNATICN * CONTR LICk:----------------------- - * * * CONTRACTOR:-------- ------------ FFCNE:---- --- --- # * * MAILING ADDRESS: ------------------------- ------------------- * * SQUARE FOOTAGE -------- PCLE FEIGHT:_---__ * * * DEMCLIIICN INFCFMATICN * CONTR LICk:___--__- -_- * * * C O N T R A C T O R:---------------------- * * MAILING ADDRESS:---------------- -------------------------- * * BUILCING SCUARE FOCTACE:--_-_-- * * • NUPBER CF BUILCINGS:- ___- xx**fY#*********##**********************###*********** # PLUVOING INFCRMATION * CONT R L I C # :------------------------- # * CONTRACTCP:--------------------------------------- PFCNE:---- --- # MAILING ACCFESS°----------------— — — — — — — — — — — — — — — — — — — — — — — — — — — — # # # MECFANICAL INFCRMATIGN * CON TR LICA:------------------------------ # # * CONTRACTGR:---------------------------------------- FFCNE:----- — — * MAILING ADCRESS:------------------------------------------------- # * * ELECTRIC:-- GAS: _-- CIL: —__ CCAL:_— WCOD:___ SCLAR:___ FEAT FUNP:_— * # MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/INSERT GAS WATER HEATER GAS HTG EQUIP<100#000>BTU GAS hTG EQUIP+100.000 BTU GAS PIPING — # OF UNITS hEATPU14P 1-100M BTU HEATPUMP 101-50014 BTU HEATPUMP 501—loCOOM BTU HEATPUMP 1.001-1750M BTU HEATPUMP +1#750M BTU REFRIG 1-100M BTU REFRIG 101-500N BTU REFRIG 501-1#000M BTU kEFRIG 1.001-1#750M BTU REFRIG +1#750M BTU AIR CONDITIONER 0-3 HP AIR CONGITICNER 3-15 hP AIR CCNDITICNER 15-3C HP AIR. CCNGITICNER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTFES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANDLER 10000+ CFM NLMBER CF ITEM DESCRIPTION ---------- ------------------------- YES OR NO PROCESSING FEE TOILETS SINKS SHOWERS �— BATH TUBS KITCHEN SINKS _ DISH WASHERS GARBAGE DISPCSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOCP SINKS BAR SINKS ROOF CRAINS LAWN SPRINKLER SEWAGE EJECTCR WATER SOFTENER URNAL DRINKING FOUNTIAN NUMBER OF YES OR NO