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1987, 06-24 Permit App 87001922 MH****************************************************************************** * INFORMATION WORKSHEET * ****************************************************************************** * * * PARCEL NUMBER: 1 8 J S - (._)7 * * *STREET ADDRESS: E /S 5 / E L" C.re.‹, cs �J z �/ *' CITY/STATE/ZIP: 6V67-/O/ 2 j (/1— / e,t,E7 * SUBDIVISION: 44 !� °Q �% * r * * * * * * * * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: * DOWNER W /U L /ii Q1'�, PHONE: n—'/ - / 2q - 27 2 ' * MAILING ADDRESS: C `6T /3 C /C��c� * CITY/STATE/ZIP: �r'Z.'Z- / �' )- l { o/6 * * CONTACT: PHONE: — — * * * * SETBACKS: — FRONT: LEFT: _ RIGHT: REAR: *. * * * PERMIT USE: f t i- C Lc ti—`' c ® f�`" * * * x***************************************************************************** * BUILDING INFORMATION * * * CONTRACTOR LICENSE NUMBER:. * * * * CONTRACTOR: PHONE: — — * * * * MAILING ADDRESS: * * * * ARCHITECT/ENGINEER: PHONE: — — * * * * MAILING ADDRESS: * * * * NEW: REMODEL: ADDITION: CHANGE OF USE: * * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: * * * * REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: * ****************************************************************************** tmkt.****4*****44****************t**,********4#r##**4 4**444-********** &******t** t!G!I1E t-CNE INFCRFATICt * CONTR LIC# * * . CONTRACTOR: PHCNE * * * MAILING ACCRESS: # PREVICLS ADDRESS: * + • LOCATION: FARCEL NLNeEP.:____ ________ STREET: 7'3 , l 5 l0 tM c c5 dal c * C1 TY/STATE/Z IP: VVI-P'sCD\A)iNN # MAKE ��Dvy NCDEo-:--- * SEPIALn: bIDTF--_(-LFNCIF:L LO **#*T..T._.##t#tt*ttt#**#*********************************_*##**************** RELCCATICN INFCRPATICt. • CONTR * CONTRACTOP : FFCt.E: - * * ,HAILING AJCRESS: 4 * PREVIOUS - CCRESS * • LCCATICN:_PARCEL NUMBER:_ * STREET: * CITY/STATE/ZIP: * x***********txx4*txtx********************************************************* * SIGN INFCRNATICN * CONTR l ICp: * * CONTRACTOR: * * MAILING ADDRESS: * * * SQUARE FOOTAGE: POLE I -EIGHT Ft -ONE: * * * * * * *********i4*xxs#********4*#*************************************************** * DEMCLI T ICN 1NFCPPAT ICI. * CONTR L ICk: ' * * CONTRACTOR: * * MAILING ADDRESS: FHCNE: — * * BUILCING SQUARE FOCTACE: * * * 4 * * * 4 NUMBER CF BUILC1NGS: * .# -44484b40* ***********x:************************4****************************x****** 4444**#******:#;#*#5****t***x**t*********7*******t=****************.*********T4 PLUVE l t%C 4 4 • CONTRACTCR : 4 t t4*4**444#444t4t*# + • COt.IR LIC4: It'FCRMATI0N t 4' 4 CONTR LIC: PFCNE - NAILING ACCFESS: CONTRACT GR: * MAILING ACCRESS: 4' * 4' t * *1*****4**#**********************t****t*******r***-**t****** x t • ELECTRIC:_ (AS:___ 4' 444444444**4444444 ME(.F-ANICAL INFCRMATIGN FFCNE x 4. CIL:___ CCAL: WCGD:SCLAR:___ FEAT FUNP:___ 4 44*****#***t*'**********#*******t****t*t tt t4444 44#4*#t tt * t* * n t*******+k+K**Kok******#************+M+ *****+****#**************+***************c* **** MECHANICAL FEES ITEM DESCRIPTION PROCESSING FEE DUCT+4ORK SYSTEM HOCCSTCVE/INSERT GAS 4:ATER HEATER GAS I-TG EQUIP<IOC.000>BTU GAS hTG EQUIP+100,000 BTU GAS PIPING - 11 OF UNITS HEATPUMP 1-10fM eTU HEATPUMP 101-500e BTU HEATPUMP 501-1, 000M BTU HEATPUMP 1,001-1750m ETU HEATPUMP +1,750M BTU REFRIG 1-100M BTU REFRIG 101-50014 BTU REFRIG 501-1,000M BTU REFRIG 1.001-1,750M BTU REFRIG . +1.750M BTU . AIR CONDITIONER 0-3 HP AIR CONOITICNER 3-15 I:P AIR CCNDITICNER 15-3C HP AIR CCNCIT ICKER 30-50 HP AIR CONOI TI-GNER +50 HP VENTILATING FANS EVAPORATIVE CCOIERS HOODS CLOTI-ES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10GOC CFM AIR HANOLER 10000+ CfM NUMBER CF YES OR NG PLUMBING FEES . ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GAKBAGE OISPCSAL CLOTHES HASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOCK SINKS BAR -SINKS ROOF CRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URNAL DRINKING FOUNTIAN NUMBER OF YES OR NG 1