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PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS (7 Y r t° I' U`4 PLAN NO.
OWNER C•J - 1 e # i
DESIGNER
USE/NATURE OF WORK /beg' 41C—
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 2 S i 5 5 ro N S"
Heat ❑ A/C Vp Vent ❑ Fuel/System ! i Heat Loss C'eL S BTU'S / iz
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 $ / 3 4 (O Permit Fee Paid $ / 9 cJ- ' Park Dedication $
ISSUED BY Date OP/f5 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT /O ER ! DATE
ADDRESS (.
TELEPHONE #
APPL DATE q9
PERMIT NO. 'f 5 ` O l
ADDRESS i v / 6/nvrv4
OWNER CiPiic y Arf P`/
NATURE OF WORK ..--4g....AEA:L
HEATING CONTRACTOR /'!,,Q Syz�gf 1 3 I-My
FUEL: GAS OIL d j SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. RAC VENT
CHIMNEY: "A" "B" DIRECT VENT CON.BURNER
CALCULATED HEAT LOSS eSFI`5 ]f SYSTEM BTU RATING t Y fv`j
MISC.
INSP. ROUGH IN FINAL 57/
EST. COST / 4 s rev PERMIT FEES /9. FAT" DATE PD GPl
REMARKS
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