1987, 07-10 Permit App 87002120 Residence, GarageS� If -P
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* INFORMATION WORKSHEET
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* PARCEL NUMBER-_ 'T
* STREET ADDRESS: *
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* CITY/STATE/ZIP-
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SUBDIVISION :_/ L Z' S T b
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x DISTRICT
x BLOCK: O 2 -'LOT: ` � ZONE: *
x *
WIDTH: DEPTH- R/W
z LOT AREA: F/A: x
* #OF BUILDINGS -
PHONE: OF DWELLINGS: WATER DISTRICT-
/ x
* PHONE:
* OWNER•
* MAILING ADDRESS:
* CITY/STATE/ZIP:�/�d%� i✓
x
* _ z
*
CONTACT: PHONE: - #
x
* SETBACKS: - FRONT: BOLEFT: RIGHT:30 REAR:
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* PERMIT USE:
x
z
* BUILDING INFORMATION
x
x
z
* CONTRACTOR LICENSE NUMBER:
*
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*
CONTRACTOR: OL00f t/ 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.:
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* REQUIRED PARKING: N HANDICAP: SEWER (Y/N): HYDRANT:
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PREVICLS ADDRESS:
LOCATIGN:
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NUV8ER GF BUILDINGS: #
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o MAiLINC AGGRESS-____-----_– – – – – – – – – – – – – --
a ELECTRIC:__ CAS:CIL:CCAL:_—
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MECHANICAL FEES PLUMBING FEES
IIE-M OESCRIPTIGN
PROCESSING FEE
DUCTWORK SYSTEM
wOCCSTCVE/INSERT
GAS tiATER HEATER
CTAS NIG EQUIP<I0C.000>B1U
GAS hTG EQUIP+100.000 BTU
GAS PIPING — X OF UNITS
HEATPUMP 1-100M CTU
HEATPUMP 101-500r BTU
HEATPUMP 501-1,COOM BTU
HEATPUMP 1.001-1750F BTU
HEATPJMP r1,750M BTU
REFRIG 1—LOON BTU
REFRIG 101-500K BTU
REFRIG 501-1,000M BTU
REFRIG 1.001-1,750M BTU
REFRIG_ t1.750H BTU .
AIR CONDITIONER 0-3 VP
AIR CONDITICNER 3-15 HP
AIR CGNOITIGNER 15-3C HP,
ATP. CCNG.ITICNER 30-50 HP
AIR CONOITI-GNER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTF-ES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-1000C CFM
AIR HANDLER 10000+ CFM
NLBBER CF ITEM DESCRIPTION
NUMBER OF
----------
---------- -------------------------
YES OR NG PROCESSING FEE
YES OR NG
TOILETS
_ Z
SINKS
_ I _ SHOWERS
I BATH TUBS
_
KITCHEN SINKS
_ DISH WASHERS
_
GARBAGE OISPCSAL
_ 1
CLOTHES RASHER
UTILITY SINKS
ELECTRIC RATER HEATERS
_ FLOOR DRAINS
_
FLOCR SINKS
_
BAR .SINKS
_ ROOF CRAINS
LAWN SPRINKLES
_
__— SEWAGE EJ£CTCR
_
_ WATER SOFTENER
URNAL
DRINKING FOUNTIAN