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1988, 02-12 Permit App 88000243 Addition1-' `GAsE- site - `LM Y 1 G(C. .XJ 4-) — //LI/.C//z PARCEL NUMBER: INFORMATION WORKSHEET 25 ccj3Z STREET ADDRESS: .P0 i" E 9 i T 2e CITY/STATE/ZIP: _ //:0 14-44,7 / GulKL SUBDIVISION: :S�if?'1 f�pS 4,//c (,a*-1L45.-4e4 gne BLOCK: `j LOT: ZONE: ► DISTRICT: LOT AREA: F/A: WIDTH: /(.1. r DEPTH: R/W: fit ## OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT: I„:►ANl, 7 -y� MAILING ADDRESS: 13 cG z/ E 1)47 CITY/STATE/ZIP: . � �� _e , W. G/' / 14" CONTACT: � j'j% /210 j PHONE: -(1// - 0 S1 C) � i �� ci C9OC' a %=-) �z/ - C c, Qq. SETBACKS: - ONT: LEFT: RIGHT: REAR: PERMIT USE: PHONE: - (22 41- 7, t OWNER: 44zk J *****lcyr*it*it**yt**********yt*******z*yryryryrytyt*iticytytyrytytytyrxytyritytytit*yt****ytyryryrx***yr*ir**** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: PHONE: ARCHITECT/ENGINEER: MAILING ADDRESS: A) /no 2,7 „- NEW: REMODEL: ' ADDITION: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: PHONE: - 3' - T76'7 BUILDING DIMENSIONS: % 1 to/ PfG7 CHANGE OF USE: (WIDTH X DEPTH) SQ. FT.: (0.3 . REQUI PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: PLUMBING INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: zxx*xxx**xx*xx*x*x*x*x**.thxxxxxxxx***x*****xxxx***x**x**xx**xxxxxxx*x***** CONTRACTOR LIC#: CONTRACTOR: MECHANICAL INFORMATION MAILING ADDRESS: ELECTRIC: GAS: OIL: ENERGY CODE: WSEC: CCAL: WOOD: SOLAR: HEAT PUMP NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: *************************************************************************** MECHANICAL FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP(100,000)BTU GAS HTG EQUIP +100,000 GAS PIPING - # 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 GAS LOG UNLIS'TEI) GAS APPLIANCE AIR HANDLER 1-10000 CFM ATP AANT17WD innnn ncm NUMBER OF YES OR NO 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