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1994-Building (siding & repair front and rear porches)
/�/ CITY OF H N° 38559 � OS KOSH PERMIT — APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� �/VC�`�DC�G�VD PLAN NO. OWNER l/UC lN�/��/„��� DESIGNER NATURE OF WO K S /N�j A� fYCl1/YI,: /Q//t,�- �UI� /1� rf� ��r- � - � ea2cw� Ne.c� �un,p cs -v1�2>o�cs .J. ` BUILDING CONTRACTOR —�//�U�-S� C.� � �. Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const.� Occupancy Permit� HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT _WH _Disp �WSoft _CBasin —Lav � _Sh _DW _DF _San. Sewer —WC —FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject —SS _Water ' Other r� � o_ FEES: Valuation $ w` Permit Fee Paid $ l� Park Dedication $ ISSUED BY � Date Final/O.P. . In the performance of this work I agree to orm all work pursuant to rules governing the described construction. � a SIGNATURE �� �L 7 AGENT/OWNER DATE ADDRESS / �SO �1� � J`�J ��fof� � � �� � ^ .✓ �� .�s TELEPHONE#