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PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / G j 4 ) - � I ' 1 / , " m, ``/
/ PLAN NO.
OWNER ( Y 7" X 0- pplei ,
DESIGNER //
USE /NATURE OF WORK 11 e&- CO 'S / MP_ Lei .~ P--
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
Jr TING CONTRACTOR 111-4.
Heat 5f) A/C [X) Vent ❑ Fuel /System Heat Loss ype--/ G
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft _ CBasin
- Lay _ Sh _ DW _ DF San. Sewer
— WC FDr SP Ur Storm Sewer
— Sink _ LTub _ Eject _ SS Water
Other
FEES: Valuation $ // c a8 Permit Fee Paid $ 5 . e-t, Park Dedication $ /
FSSUED BY .. l,�G. Date 7//" /orCp Final/O.P. / ° / / ° /44
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. •
SIGNATURE lit■ `tJ 1 'Ilk '1 ..1 td61
AGENT /OWNER • /�'��
Q DA
ADDRESS v ` (_ . _ - " 7l &,
TELEPHONE #
PERMIT NO. c 1 A ' (O APPL. DATE / /G/ p
ADDRESS /&g2; g /17/1
OWNER k r eio , it
NATURE OF WORK , e�TI j ii4e Lt, 4/91 P_,
HEATING CONTRACTOR rD rivs7 701 (®,-/-thrj
FUEL: . OIL Op SOLAR SOLID
CONDITIONING 'ORCED AIR H.W. •.ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY )<')IR COND.
CHIMNEY: "A" "B" ) CON. BURNER
CALCULATED HEAT LOSS) !i n SYSTEM BTU RATING /4c
MISC. 3 e h �
INSP. ROUGH IN FINAL , /0 Ar
EST. COST bP •6 9,,c/tePERMIT FEES ' q APIATE PD ''77 A'
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