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VI OJ OJ VI (1) 0- o ::l {fI -;:;:;:: ~~,. ..~ r'. -. , (t, /f " Option Specifications DAlE DESCRIPllON 8/24/82 ~ITCHEN OPTION K - 62 o K - 62A REV, DAlE ~ Statesvi lle Country Estate Mt. Vernon ~ Butcher Block o Parchment o As Shown R Opposite View 1 ~td. K- :J Optional , OPTIONAL ; OVERHANG ,. AT ISLAND CABINETS AT SINK LJ IDOl AS SHOWN 2296~ 229J93f> OPPOS ITE 2293698 22937+P View 3 ~ [J G€CJ WID - View 4 Ref RIG. SPACE AT REFRIG: J!f- , C=:J c=:J -- -- I IBO,2.4 I G.. B. CB, .48 --l-l ,'-:'" r--l J I . Ii FHOM L----.l =i.- _ _ _ I WALL OPTION'~L ~~~~ 0.11'I. SPACE,O AT ISLAND I. II , ) ,'lJ<'~VDfi::r3 rlLtE\: S-rIU'f AS SHOWN OPPOS ITE 247GC9B 247642B 247G77P 247G~OP AS SHOWN OPPOSITE 2l5258B 22~223B ~2S2GGP 22S2J1P E-ITHER CASE 2243088 22~2')~r ~Std. K-62 OOption K-62A ~-~ . r , , Soctlon ' 8' Of.wlng 82-~r&' K S.O.#5Sil ,\ View 2 = ~' RANGE C:=J I J SPACE G ' I 818 , I L_ AT RANGE AS SHmm 2473758 - -r~3-P-- OPPOS ITE 2473918 24740Sr EITHER CASE 2216438 .~35P- View -----~........ " ' ,. Please do nol make Xerox coplas, STATE OF WISCONSIN DEPARTMENT OF INDUSTRV.LABOR AND HUMAN RELATIONS OIVtSION.OF SAFTY AND BUILDINGS 201 E. WASHINGTON AVE. BOX 7BfIlI MADISON, WI. 63107 WISCONSIN STATUES 101.83 PERMIT REQUESTED usC41 PROJECT LOCATION 1. PROJECT 2. TYPE WISCONSIN UNIFORM BUILDING PERMIT APPLlCA TION ~s-3 PERMIT NO. .!J PARCEL NO. .~ CONST Mailing Address .,.;:;:J G D . Mailing Address o PLUMB Telephone :3( -f2...D$ Telephone Yo, SECTION , T E(or)W Block No, - Sq.ft. 3. ELECTRICAL Right / ft. 8' 5. ENERGY SOURCES ft. 4. HVACEQUIPMENT lKi New o Alteration o Garage o Attached o Detached o Other o Master plan no. (if applicable) Entrance Panel Size: f 00 Service I2(l Underground o Overhead 6. CON ST. TYPE 7. FOUNDATION Forced Air Furnace Radiant Baseboard or Panel D Heat pump o Boiler . o Central Air Cond, o Other LP Gas Nat. Gas Fuel Oil Elec, Wood Solar Coal Other o Addition IXlSingle family LJTwo family o Other 00 Site const. o Manufactured 9. AREA 10. STORIES ~Basement 1/ ~tf- ~LiVing Area II tlt/- sq. ft. IZJ l-Story o 2-Story sq. ft. 0 Other Fuel AMP ~Concrete a Masonry DTreated Wood o Other 11. USE 8. PLUMBING Sewer 5Municipal o Septic OPermit No, 12. WATER Space Htg. Water Htg. ~ o o o o o ~ o o o o DSeasonal 0 o Permanent Private ge sq.ft. DOther ~Municipal e applicant agrees to comply with the Wisconsin Uniform Dwelling Co anll other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or im ed,' artment r Municipality; and certifies that all the above information is accurate. SIGNA TURE OF APPLICANT DATE CONDITIONS OF A..PP OV L This permit is issued pursuant to the following:conditions. Failure to compfy m~y result in suspension or R A revocation of this permit or other penalty. 13. ISSUING JURISDICTION NAME ()SH1L-Os t+ FEES PERMIT(S) ISSUED 'J?9:CONST. lpHVAC ~LEC DPLUMB PLAN REVIEW $ INSPECTION WIS. PERMITSEAL(S) ~D OTHER ( ,) TOTAL $ 01 LHR-SBD-5823 DVILLAGE ~CITY 20- DTOWN DCOUNTY MUNIC. NO. WIS. UNIFORM PERMIT SEAL NO.(S) -flM.'. ~ /.: i:f-.S-f? PERMIT ISSUED BY ~t.W~ NAME DATE CERT NO.~- e; 01:{- ISSUING JURISDICTION/AGENCY DSTATE z. r; {;