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N9 38457
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ■�1' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 !e / j e / /C,' e lei PLAN NO.
OWNER R (J S C 4
DESIGNER
USE /NATURE OF WORK h. `: /Ueui `J2
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
' Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 0I Cc.v e e 11-
Heat V] A/C ❑ Vent ❑ Fuel /System !i-` • Heat Loss ikfl BTU'S 5 .17 O`
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 $ OL - Permit O` GYQ t Fee Paid $ /h- 5% Park Dedication $
ISSUED BY Date 3//. -` Final /O.P. (- 779 5
In the performance of th's work ' agree, perform all work pursuant to rules governing the described construction.
, / / O
SIGNATURE 3// ?
AGENT /O R 7
ADDRESS I1
/ TELEPHONE #
! PPL DATE l.1 4 PERMIT NO. 3g
ADDRESS PO 9 &°441
OWNER J f1 S Cs/°!
NATURE OF WORK 4 /v.e u/
HEATING CONTRACTOR 11 e W B t" /0
FUEL:- OIL ELEC. SOLAR SOLID
CONDLTIONING clIPORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. AFC VENT
CHIMNEY: "A" "B" 'IdIRECT VENT CON. BURNER
CALCULATED HEAT LOSS i'if, p, SYSTEM BTU RATING y 17 O`
MISC.
INSP. ROUGH IN FINAL G /xl sS'
EST. COST ) PERMIT FEES )5 Oe DATE PD 3 /40
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