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PERMIT — APPLICATION AND RECORD
TYPE: BLDGXHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING „ ( FLOOD PLAIN HEIGHT A (/
ADDRESS 9 { M 0 0 1 I- PLAN NO.
OWNER d fr\€5 V IC--e:—
DESIGNER
USE/NATURE / / C
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SE /NATURE OF WORK _ 6. F [ L A (0,4,-c., 4,-7.0._,. (3�T,/ 2<, r'.,
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BUILDING CONTRACTOR j�Voc (0 `/v O LFtZ--
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Size IS X e„, f Sq. Ft. 4 # Rooms 1 # Stories Height
Foundation Class of Const. its Occupancy Permit 0TH /� `�- Q(i Ieuo
HEATING CONTRACTOR /fiDeti< --
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR V Z k"F_-
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: Valuat'•n J (A
• Permit Fee Paid $ J Park Dedication $ /� J t
ISSUED BY .• ./ _ A•! i4. Date 3 -Z3 -h? Final /O.P.
In the performance of this work I agree to perfor• all work pursuant to rules governing the described construction. j W 1 /
SIGNATURE • 1 OK Zq
AGE 1 /OWNER DATE
ADDRESS 1/7 O 23J -OUz Q
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