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PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG [ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a ( 0 S 54 €r / GLII PLAN NO.
OWNER 0-4.7 � . D r°r � .,:f'' 4- Co ,.
DESIGNER /
USE /NATURE OF WORK 1 zal7n y /./fae:A.- #0,71 .-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
tv HEATING CONTRACTOR CO id ) / / e ,,
Heat y A/C ❑ Vent El Fuel/System / "" -6-" Heat Loss ��� �y
/J . BTU'S ✓ 3 1)VA - 0
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 $ 7/ fa, Pte Permit Fee Paid $ P. 7` Park Dedication $
ISSUED BY Date / /92ey Final /O.P. 1 /0
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE NO lAcsw Uw' . I- ° ei
GENT /OWNER D E
ADDRESS
TELEPHONE #
PERMIT NO. 6 �✓ _APPL• DATE , •
ATE •
ADDRESS i , S— c?
OWNER ' a 1 ec'^'
NATURE OF WORK PeS, w ' �
� I _
HEATING CONTRACTOR r v!G*i ,e' .4 , . it
FUEL: 110 OIL ELEC SOLAR SOLID
CONDITIONINGY'ORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY' "A" "B" AIRECT VENT CON. BURNER y�
CALCULATED HEAT LOSS ;, L,) / SYSTEM BTU __,.V 4!0:2 .
MI SC.
INSP . ROUGH IN FINAL �' /1� �.i� EST. COST g i f 9Q, c/-0 PERMIT FEES , 7 ■A PD 'Y
REMARKS
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