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PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG 7 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 y, U -ec m/ ` P 0 PLAN NO.
OWNER R 0 /1 /9/ ',k'
DESIGNER
USE /NATURE OF WORK / J? ,(i /7‘
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 7 ..e A ____.Z,e14-74--n Z o h
Heat A/C ❑ Vent ❑ Fuel /System / Heat Loss _A BTU'S l' fe-f-
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
FEES: Valuation $ ` C Permit Fee Paid $ 3( - a`-e2 Park Dedication $
ISSUED BY Date /C)/ /YPFinal /O.P. / o ° ° 2 7 1
In the performance of this work I a ree to perform all work pursuant to rules governing the described construction.
SIGNATURE v v
AGENT /OWNER / l/
DATE
ADDRESS
TELEPHONE #
CO/
PERMIT NO. / I Op APPL . DATE CO /s?,
ADDRESS 9/ N6ive r'ill,' ` 1 124
OWNER Roil a /CI /
NATURE OF WORK D / Nett/ 14,xn
HEATING CONTRACTOR re-e4 1 e 'r
FUEL: OIL ELEC SOLAR SOLID
CONDITIONING ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND,
CHIMNEY: "A" DIRECT VENT CON. BURNER
CALCULATED HEAT LOSS Illy9 SYSTEM BTU RATING /107/472
MISC.
INSP . ROUGH IN FINAL i,e/ ft �'
EST. COST PERMIT FEE S'�j, D TE PD /O /,p/
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