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1992-Plumbing (water heater)
PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING _ FLOOD PLAIN HEIGHT - - - _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ..,. � �� �.. _ PLAN NO. .... OWNER "( .. - ..,. m -- DESIGNER..... .. m w USE/NATURE OF WORK .... ...- e . � �/ a ` BUILDING CONTRACTOR_ .. Size_ __ Sq. Ft. _ # Rooms # Stories _ Height Foundation Class of Const. .._. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System....... _.e Heat Loss._ BTU"S___. ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type---.— Volts Amps Fixtures—.— Switches m Receptacles—_-- Circuits_.. PLUMBING CONTRACTOR DT WH _.�Disp WSoft .CBasin Lav Sh DW DF —San. Sewer---- WC FDr .SP _._Ur _Storm Sewer Sink LTub Eject SS —Water -... Other FEES: Valuation $ Permit Fee Paid $__.._ Park Dedication $ ISSUED BY—Alez Date . - ._� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � AGENT/'OVJNER DATE . ADDRESS TELEPHONE#