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PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGAr SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /3 a a L PLAN NO.
OWNER i G/
DESIGNER
USE /NATURE OF WORK /(S
BUILDING CONTRACTOR
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 CB. in
I_ Lay Sh _L DW DF San. Sewer
WC FDr __L SP Ur Storm Sewer
Sink LTub Eje t SS Water
Other Ceti
te r
FEES: Valuation CS
d N 6 Permit Fee Paid d Park Dedication
ISSUED BY Date 7/71 Final /O.P.
In the performance off this work I agree to perform II work pursuant to rules governing the described construction.
SIGNATURE J 5
AGENT /OWNER DATE
V /J�t
ADDRESS 57 1.�„--"e9, A /4e44 '2 362 --e.405-
TELEPHONE
ADDRESS l3 o O s 11 NC PERMIT Anita CATION
OWNER i -a DATE PE T# 393
NATURE of WU S L LR
BRIO:
WAFER i
e
A.
WA
ON DAZE
r E e c t o r
CATION DATE lag IN Water Softener
(/(C. g P-0--,-- /II Sink other Drinkin Fountain
e Slo. Sink
MINI Floor Drain 1111 L ease Tra.
Laundry Tu. Local Waste
Dis.osal
9y Site Drain
Dish asher Laundr Stand.i.e
Catch Basin
2 1 r d LA 6 0,,,,Q ,..4:4--.47‘45ite-C9P