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1988, 11-15 Permit App 88003681 FurnacePARCEL NUMBER: rr;_ INFORMATION WORKSHEET CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: F3 ZONE:_is DISTRICT: I LOT AREA: F/A: _ WIDTH: /cam DEPTH: R/W:_. l it — # OF BUILDINGS. $ OF DWELLINGS: WATER DISTRICT: OwNER- PHON - - - MPTLING ADDRESS- CITY/STATE/ZIP• CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE xxxxxtxxxx,txxxtxsi�txxxxxxxxxxxxxxxx:xfrx �xxxxxx:ix:r�r^;: :<,txxxxxxxx*xxxxxx*xx x-..-• BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: MAILING ADDRESS ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: - PHONE: - NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: _ BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. E'T. REQUIRED PARR:::.:: — — # HANDICAP: SEWER (Y/N) - li-'-BRANT: Revised 1/88 YLUl7tllNli 1Nr Vi(L7A'1'1VN LIC#: CONTRACTOR: MAILING ADDRESS: xxxxxxxxxxxzzzzzzxxzzzzzxxzxxxxxzzzxx:zzzzzxzzzzzzxxzzzzzzzzzzzzzxxzxxzxxzz CONTRACTOR: MAILING ADD MECHANICAL INFORMATION LIC#: ®'/ eC` b-114 ELECTRIC-_ GAS: j/ OIL: ENERGY CODE: WSEC: CCAL•_ WOOD-_ SOLAR-_ HEAT PUMP NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: zzzzzzzzzzzzz:zzzzzzzzzz:zzzzz:zzzzzzzzzzz:zz:xzzzzxxzzzz�zzxxxzzzzzz:xzzzz 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 - Y 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 Kip VENTILATING FANS PLUMBING FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS EVAPORATIVE COOLERS n HOODS CLOTHES DRYER b U RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10000 CFM AIR HANDLER 10000 CFM 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