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PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ■: ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 16/ 7 P,'fr 1 PLAN NO.
OWNER Fr arc/ J. f,' e [/I S
DESIGNER V
USE /NATURE OF WORK e-4F/ /IE e-' 1k/w e
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR re- e/& — eG67 e,' �,1
Heat A/C ❑ Vent ❑ F /System /� Heat Loss 15 BTU'S 7f �`
/I ` d // isik_
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 $ l / t om- e`tt2 Permit Fee Paid $ 4'5 fta Park Dedication $
ISSUED BY 1/4- Date Pi 1 1/ 9 / Final /O.P. S ' a 3 ' - ?i f - c) -.
In the performance of this work I agree to perform all work pursuant to pules governing the described construction.
SIGNATURE AL ���.. _ 1 20. _ ��� _� /�/
/ AGENT /! R p/�
ADDRESS
TELEPHONE #
APPL. DATE lU / /�� PERMIT NO. ,p,- 2. 1p
ARID 12
OWNER Fr rd k '
`1 '-e #1
NATURE OF WORK i1 v me, e t.4., Nolo(
HEATING CONTRACTOR Z° -E Z -es-7h Z' '
FUEL: CfP OIL ELEC. SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT t
CHIMNEY: "A" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS : r # SYSTEM BTU RATING 76;00
MISC. r A 1,0 ivc.
INSP. ROUGH IN FINAL 00/{
EST. COST �D}77J ,_(� PERMIT FEES OD DATE PD,9
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