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HomeMy WebLinkAboutPLBG2016-4640FUEL GAS DATE: JOB AoonsaS:/) " / / y\ ouns� / /o<1= ,� \\��"� <[n y��� �� r- DESFIRIPTION OF WORK ^- N`k\rvt-sz, CONTRACTING COMPANY: ��l_. ADDRESS: = - CITY/STATE/ZIP: PHONE NUMBER: AMOUNT DUE 69. 69- (AO 64 ef) PERMIT FEES EACH TRAD $ 33.25 $ 49.88 $ 63.18 $ 76.48 $ 83.13 $ 89.78 $ 96.43 $ 103.08 $ 109.73 $ 120.37 EACH TRADE $ 37.00 $ 17.50+.035 PER $ 3.500.00+.03 | SQUARE s15.000.00+.02 | FOOT EACH TRADE $ 37.00 $ 32.00+ .01 PER $ 182.00+ .007 | SQUARE $ 582.00+ .003 } FOOT EACH TRADE $ 37.00 $ 45.00 $ 57.00 $ 72.00 $ 27.00+ .009 $ 127.00+ .007 PER $ 327.00+ .005 DOLLAR $ 1,327.00+ .003 J VALUATION EACH TRADE $ 37.00 $ 37.00 $ 37.00 $ 37.00 $ 37.00 BLDG. PERMIT # PROPERTY OWNER: kCA ls„ — -1 lL D ADDRESS: -�-y �IP+'/�P i\r/ CITY/STATE/ZIP: - - - ' c �/— BUILDING AREA (SQ FT) C ) 0) 0 0 0 0 0 0 0 't 0) 0 I-0 0 I-() 0 0 0 1"--- -,/-- /.0 1,-- 0 Cs.1 0 I-0 0 ,-- ,--- <--- CV c\i c6 c-; ,F 1111 +. in 0 0 LI) 0 LO 0 0 0 ,-- .--. v- C \ I- NI- Cc) CO- •cr- 1' 500 501-100.000 100.001-500.000 500,001 + 1' 500 501- 50.000 50,001' 100,000 100,001+ CONTRACT L.L. 0 Z 0 }: ---,. < > OC 0000000 0 0 0 0 0 0 0 LO LO_ 0 0 0 0 0 •,-. 05 1.6 c 5 c5 cis Lo o 0 v•-' L() 1 i ; i o 6 x--- 1-- c-- ,e--0 0 • e--• c-- N--- 0 0 0 0 0 0 PERMIT # _Lilo LL . (...2% Cs)? (.., , r-- ....., ,M. ii 121 2 z I.0 Z 0 = 0- TYPE OF OCCUPANCY I. R-3 SINGLE FAMILY, DUPLEX TOVVNHOUSE, NEW CONSTRUCTION & ADDITONS (PER UNIT) TOTAL SQ. FOOT UNDER ROOF U. /\ E. i R-1 HOTELS, APARTMENTS, DRINKING/DINING, EDUCATIONAL, ASSEMBLY, INSTITUTIONAL HI. B, F, H, M, S, U OFFICE RETA|L, YVHOLEGALE, GARAGEG, FACT0R/ES, WORKSHOPS, SERVICE STATIONS, WAREHOUSE IV. ANY OCCUPANCY GROUP RN|GU'0UTG, SHELL CON1PLET0NS, ALTERATIONS OR STAND ALONE PERMITS CONTRACT VALUATION OF WORK: V. MISCELLANEOUS IRRIGATION SYSTEMS MOBILE HOME SERVICE TEMPORARY POLE SERVICE SWIMMING POOLS SIGN ELECTRIC Internet APPLICATION w,'oc PLAN SUBMITT Z W �wx m c w0 W w w ~3U Z mLi, a Z ❑ Q ❑ LU Z 0 ct 2 O uj ujUw w 0 aOO Q Wm a re xr OZ W W W U H C4 ZF-u.) Z2Q ❑ W fn O w F - m5 OiN U cq w m cn < } z J J m Q Q W axed' UJ Q 5 Q C � Z >_ C1' -OL11 P.m co Q W J = Wc:�_ QwJU Z=U� Q I_ ❑ w d J Q ZUmw Z 0c OTHER INSPECTIONS AND FEES: HR MINIMUM) $42.00/HOUR ACTUAL COSTS" u) H- ❑ m ' 0 p D: H0 0 U) z — � 0 F- 0 L> w U O cc Z d cc w co 0 w z —u5 0 0 0 zQ LL 0 ❑Q ~ JZ W U J LU _ F- ❑ ❑ > m Q z Q }Q0 H1 LL Z�w -J(O0 0 z O > 0 z U F Q _ _1 w = w Z d U) <tso z❑� w U w} w w O z u_am n_=w c Lu () ❑W cc- H W X 0 m Z OD W D W H Q < W w0 IU)J LU O W I- W L w2ww0 0 U W w U z www U c Z LL LL 0 �ws0<Z—CO 0I-- 0zs'wJQ�O WOCCcnn-a o 0v�0Q❑aN0 it: Wu)1-zw0W w W U) 00_1-00,.<,z W Oc❑m❑ W w❑ w Z= O ZcLdZQQmU)w www U- M C.) 0 0 M000 w QUI- §ELQU Y W 0c.) z=p J ❑ W ❑ Q <C Z <ZI-Z U_1 LU ❑ 020CC O H 0 0 J Q w Q' °-' Y O ❑ow Y Z°Z0 >- - U 2 U) w J Z 0Q LU E0 H Z w}UO I m c O>ZO I-00> U U Z X w d 0 co Z Z Z 0 2 w Z Z X 0 W< wII/ Et ❑ ❑ O 0=01-wCCUJ�wZ w0Z� ' '-5 0 w QZQ0 H CC 0 Z 0 >- LL wUOp �Q}❑ w❑ Uwog } W cc m0HwLL a wCCH� =asp Z W 0 F - z w QCO ❑ E- N (2w Ow U) w Qz 0 00 0 0O cC Z Ow O� U 0z WO Q0 z= o O -J W w z 0 a c W 1- w 0 Uj w0 >O w O U< 11cc Z 0> �O U❑ 0 Z - I- = H H U) OZ U) ❑ Q O }LU J CC J U OZ I- < 0 0U J ~U 0? ook1G60E6GQF\MEP APPLICATION 4-11.doc dows\Temporary Internet Files\Conte :\ Users \sbatle\AppDatolLocal\Mi 1) SWIMMING POOL ADDRESS: IRRIGATION WATER HEATER o UJ 0_ PLUMBING — 0 c73 >, ..c u) :. 0 C.-.31 O ° 0 — fj• 45' -0 --,.. ° --- 0 u) V C Vi — -0 460 -0 CO CZ c 0 CO 4E, E -CS c0 • 25 0 CT E a) tri 46 2 co u) 2 E a 0 cn o 0 1:3 2 O ..a O 0 076 -a > E -o -0CO o o c o c cf) co cn LE >, - >, a) cn 0 CD c 4C -Z Cii .".i 75 0 2 u) 4-- a CZ CO E O c 'E (0 0 E -05 N= T-3 _ c) 0 c >, _• 0 C a- 175 .,.., -. ( \I c c,. .. ,.., L-. 0 = a) C (I) 0 tu_ 0 -0 E u) u) 0 a) 0.) -.--• 0 o V -0 -0 E p. t.72 1:3 a)'2 cr) -,-; 2 c 0 o a) -§ 0 C • L.. . — > .... C Vc 2 E a) >- O c:, 13 co ,= -3 E > ,- 0 — -i---- • — 0) -0 a) 0 0 0 O _ o. CD 0 0 0 6 0 c- o) ...... c CV >, -0 .— P- —0 .5., _ la i5 7:-., moasasE as c