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HomeMy WebLinkAbout0003013-Building (siding) ~ ., clfVOFOS~AKOSA N2 PERMIT - APPLICATION AND RECORD 03013 TYPE: BLDG)8( HTG 0 EU~C 0 PLBG 0 SIGN 0 ZONING e- ((5 FLOOD PLAIN (0il.J...+ HEIGHT jJ {.A- - - - - - - - - - iQ<:r~ 2:( - - - -1-tA"RtL.lS;;; - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS -4: L"l c, ',2. ~:::. ~ ',N\ A ~_J .~: , PLAN NO. OWNER ~RfW\ M \ LL€JL I DESIGNER USE/NATURE OF WORK S; I Nt:. Lf( E><: (STrNe. .s: t'/JI;J~ CJ/J ~ if,<.A- J;~'-o;C/ /'7 Lv i 71--1 CJV~ ()N BUILDING CONTRACTOR' dAl' LEfT Size Sq. Ft. ~Q..OO # Rooms # Stories Class Of: Const.;#- B :2- Height Occupancy Permit ;Uor!k(fJUfe0 Foundation HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat, Loss BTU'S r---- ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other ISSUED BY J Permit Fee Paid $ . '30 .l Date G-bt 7-8 7 Park Dedication $ Final/O.P. A1{A. , FEES: Valua' n In the performance of this work L agree to perform all work pursuant to rules governing the described construction. ADDRESS ~jld f)~ fi:ff-- , AGENT/OWNER :)3 7!:> CJ!p~ iC( ~ o~A.. h~ :J- 7 DATE ;3s~ 'II If~ TELEPHONE # SIGNATURE