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1988, 11-15 Permit App 88003680 FireplaceINFORMATION WORKSHEET PARCEL NUMBER:/ /— D 26 STREET ADDRESS: So �ll Y CITY/STATE/ZIP SUBDIVISION: BLOCK: I LOT: 26 ZONE: DISTRICT: . -G LOT AREA: F/A: WIDTH: /2-5 DEPTH: /86 R/W: J--6 # OF BUILDINGS: �$ OF DWWELLLINGS: WATER DISTRTC': OWNER:. gFi U2L/fC'�p (JA BONE: --- MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: SETBACKS: - FPONT: LEFT: RIGHT: REAP.: PERMIT USE: xxxxxxx::xxxxxxx:x:xxxxxxxxxxxxxxxxxxxxxxxxxxxx:xx:xxxxxxxx:xxxxxxxxx:::x;-... BUILDING INFORMATION LICENSE NUMBER: CONTRACTOR MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: DWELL UNITS: OCCUPANT LOAD BUILDING DTMENSIONS: X Vwbj000miu PHONE: - - PHONE: - - CHANGE OF USE: BUILDING HGT: STORIES: ( WIDTH X DEPTIi ) SQ. FT . : REQUI ED P"RKING: # HANDICAP: SEWER (Y/ti tiT: Revised 1/88 FLU19tINU lN&Ui(17AllU1V LIC$: CONTRACTOR: MAILING ADDRESS: CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH:_ PRESCRIPTIVE:_ POINT:_ COMPONENT:_ SYSTEMS:_ MECHANICAL FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP(100,000)BTU GAS HTG EQUIP +100,000 GAS PIPING - i 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 CLOTHES DRYER RANGE so GAS LOG UNLISTED GAS APPLIANCE -izjfi- c AIR HANDLER 1-10000 CFM AIR HANDLER 10000 CFM PLUMBING FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO 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 URINAL DRINKING FOUNTAIN