HomeMy WebLinkAbout0005385-Plumbing (interior) i N a) 4- 3 a) c a
�' 3
03 m = 0 0)
co
• 3c _
0 aim To
C 2 > p� d O
O 0 i c� _ - as
0 1 Z OL c c _ c r .v_ 3 C
O co
Z O O y c N
O a) •O p�p
u. a � W y CDe2 a
�O c ` _ 0 3 Y 0
r m °E 3
� .Y
C c0 m 0 U �3 O
0
O as O 1 > Y • N O
• N
0 a) O O `°
ca
0
a
y U ,� • c t
+ 0) U O v JD C
w C • . O 0 c L i U o
a • t0 O O O O — +• a) U a) }
C V a O O N ° p C Q. O Q 7
C O C ° u) Z U Q - IL W w it c a is as ...
3 >
N • y O C
U) I- #01 3 0 daU r a) aa, a) U
Z> N G)
,;- > D CO
1 U 0 C 'd n c c D U
c m0 O a)
O o o C a)
N E CL - O m x m"
\ a) a) CO N E .� a)
co
m LL v .r
0
C i > c c
ca • °'
a
\i N N— c 0
i O@ c Y O
a- 1 x (/) c O m cu
U O K'4; •I/ O O O co = _
C
.2 .a L 11
O c -
\ U m m 0
LLI 0 d p a) -
0 y - _ - y ..- `a C m
> c a c0 c
\` Cri. o Z ma c - , t U m
❑ O C 'o C) c w '- p m
_ 0 0 3 p J v y N 'IC c
• Z +,
4o . a) y y > a) U
O o 0 a 0 r ww cy m �< 0.)
Y c 0 • E z . s. c C
d 5 O O 0 N O yy N O m c `� a >, •O
N m 0 LL fn = i W " y w D C O < CO Q
O L
LL O 3 .° Q
cl
>. 0 > ❑ • `) N i\.. co
C.) 0 °) a
CD w
a) U
L.L i
rn C E U
c 3 a)
cc > 7 u) ~
O E 0 U a
W a (0 u ❑ c
O O a)
E c L v c as
r-, �� �� To ❑❑Um1 y cu
Z 0 s- ( m a o m >°
E a)
Y
_ °�
CO m 4)
m U +
To
Q C U a) ❑ u)
m o ❑
W 111 V ❑ 1 ` �ui0Uim0 L_
Cis �, C m 4
-J
To N1... .,,,! .......4"... • E 15
I Y W CO CO N i U ❑ 7 U a)
I— U O O O O 0 r 2 u) _ U
' U
m ❑ 7 O �� cTs >� (/) i ❑ ❑
c� > -0 L W u)
W 0) cr 00 C oa = c a) -1-1 •Q ❑ m
a i °yy 1 °c �o ��m' c ❑ o
y
CD �a Q =1° ) a a)
0 0
V 0 a) y Z Q z o a
Q = i 0 3 ., t a) O a) O .0 >
E C7 a) C 0) i i V ❑ V
u) N ca m . _ C y
Z 0 N Q m U Y 2 m C3 0 . . a V
o_
o m cn ° _ z ac
O ? n (n a• o f a E W U • 4 a c
. J a Z a 0 m co m as cc
m Y CD d Z l i 0 U) W W 0 u< u)
STATE OF WISCONSIN
DEPARTMENT OF INDUSTRY, LABOR AND WISCONSIN UNIFORM
G
HUMAN RELATIONS PERMIT NO.�t7
DIVISION OFSAFTY =BUILDINGS BUILDING PERMIT
701 E. WA AYE.
BOX 791 PARCEL NO
MADISON, 87707 APPLICATION
S
WISCONSIN STATUES 101.87
PERMIT REQUESTED ❑ CONST ❑HVAC ❑ELEC PLUMB
Owner's Name j Mailing Address
Telephone
Contractor's Na a Mailing Address
� r r � i4 j/ / /� / Telephone
PROJECT LOCATION lr. %, SECTION
, T N, R Elor►W
Building Address
1( 7'�f / fJ� Subdivision Name Lot No. Block No.
Zoning District Lot Area Front I Rear Left Right
I Setbacks
Sq.ft. ft. ft. ft. ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
K_New Entrance Panel ❑Forced Air Furnace Fuel Space Water
❑Addition Ingle family
Alteration Size:
AMP Htg. Htg.
Two famil Service ❑ Radiant Baseboard or Panel
❑ Garage ❑Other ❑ Underground ❑Heat pump LP Gas ❑ ❑
❑Attached Overhead ❑Boiler Nat. Gas ❑ ❑
❑Detached ❑ Central Air Cond. Fuel Oil ❑ ❑
❑Other 6. CONST.TYPE 7. FOUNDATION ii Other Elec. ❑ III
Ell Master plan no. Wood ❑ El
ite const. ❑Concrete 8. PLUMBING Solar ❑ ❑
(if applicable) Manufactured ❑Masonry
Sewer Coal ❑ ❑
9. AREA ( DOutsinde on ) 10. STORIES ❑Treated Wood Other
\i
❑Other ►� I unicipal
❑ Basement sq.ft. Story 11. USE • Septic
L72 -Story
El Permit No. 12. WATER
❑ Living Area sq•ft. ❑Other ❑Seasonal
ft. ermanent
❑Garage s ❑Private
q Other ,XMunicipal
he applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands
that the issuance of the permit creates no legal liability, express or implied, on the Department or Municipality; and certifies that all the above information
is accurate.
SIGNATURE OF APPLICANT DATE At99ok VO
CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty.
•
13. ISSUING JURISDICTION ❑VILLAGE CITY El TOWN ❑COUNTY ❑STATE
S
NAME C'S ✓l O /
MUNIC. NO. —
FEES PERMITIS) WIS. UNIFORM PERMIT
ISSUED SEAL NO.(S) PERMIT 1 _ .,. ED
PLAN REVIEW $ ❑CONST. �/
INSPECTION ❑HVAC NAME :...t '..„ . f /,r; , i •
WIS. PERMIT SEALIS) act? ❑ELEC DATE I rrr
OTHER( )
TOTAL $ —�" ❑ PLUMB 03/ 1 71 1 CERT NO. +'S4 --/7/ 7
DILHRSBD -5823 �;�
ISSUING JURISDICTION /AI;FNry