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PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9--- / 1 " t'C /R' / I' P • PLAN NO.
OWNER J e
DESIGNER
USE /NATURE OF WORK 12 9 9 4‘ e rg
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR It/ el /6'y E'y "HI
Heat [g A/C ❑ Vent ❑ Fuel /System Ai•C Heat Loss ! / s7 BTU'S 7c Uwe
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 $ / 9 Permit Fee Paid $ /45 LAf v Park Dedication $
ISSUED BY Date , / Final /O.P. 1 / 3 - 9 II
In the performa e of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE // / A. .
A ENT /OWNER / DATE
ADDRESS
TELEPHONE #
APPL DATE PERMIT I10. SY;fw
ADDRESS UL7 Hpn? cI i Place
OWNER Te' wo /P
NATURE OF WORK y i it a c
HEATING CONTRACTOR L(/ 'S /,P y
FUEL: ® OIL ELEC. SOLAR SOLID
CONDITIONING CPORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM RADIANT SUPPL. A/C VENT
CHIMNEY: RECT VENT CON. BURNER
CALCULATED HE LOSS Wk SYSTEM BTU RATING 75
MISC.
INSP. ROUGH IN FINAL y 5J9Y
EST. COST J (/b .. cry, PERMIT FEES/6% CV DATE P�1
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