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STA OF WISCON
H IOUSTRY,LABORAND WISCONSIN UNIFORM - PERMIT NO. /�.�
DE AN RELATIONS
01 E. WA SAM/ AV BUILDINGS
2 BUILDING PERMIT
eS Ot E.WASHINSNINGTONAV. PARCEL NO.
OX >saB
MADISON. WI. 53707 APPLICATION
WISCONSIN STATUES 10163
•
PERMIT REQUESTED ❑CONST 1;g1)-IVAC ❑ELEC ❑PLUMB
Owner's Name t Mailing Address / Telephone
G r / 1. ' r 5 5 /6 kfl, /O/ (ea S7= 054 5 1 `�,- -i.0 O
Contractor's ame _ Mailing Address / Telephone
/. / r 1 4 1 `J! ,0' S S a `h e- > ^ /t AN e.
PROJECT LOCATION Y. %, SECTION T N, R Elor)W
Building Address / h Subdivision Na Lot No. Block No.
2 75 ' tlep�,''c /A, Woe, y / Iv L(.�0 -k, /
Zoni District t 1 Lot Area Front Rear Left Right
sq.ft. Setbacks
An 7/2„... �
"C-, ft. 5 ft. ft. /2.---ft.
1. PROJECT 2. TYPE 3. ELECTRICAL • 4. HVAC EQUIPMENT 5. ENERGY SOURCES
Entrance Panel ❑ Forced Air Furnace Fuel Space Water
ew ❑Addition G?rSinglefamily Size: / AMP Htg. Htg.
❑ Alteration ❑Two family Radiant Baseboard or Panel ❑ ❑
t��,�•�.� Service
o4luarage ❑Other Heat pump Na Gas
❑ Under ❑
❑Overhead ❑ Boller Nat. Gas
ttached
U Detached ❑Central Air Cond. Fuel Oil ❑
❑Other 6. CONST.TYPE 7. FOUNDATION other WO OS Elec. ❑
❑ Master plan no. I Wood p ❑
�:.iteconst. ❑Concrete 8. PLUMBING Solar ❑
(if applicable) r Manufactured ❑Masonry Coal ❑ ❑
Outside ❑Treated Wood Se er
9. AREA
(Dimension) 10. STORIES r Other
❑Other !Municipal
❑ Basement /.' 0 C2 sq.ft. ❑ 1 -Story 11. USE ❑ Septic
1112-Stor 0 Permit No. 12. WATER
❑ Living Area /0 $ S s Oth r ❑Seasonal
❑ Garage �� 0 sq.ft. �1 V G/ Permanent ❑ rivate
Other
ii.? unicipal
the applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understan s
that the issuance of the permit creates no legal liability, expr iis • 'ed, on the Department or Municipality; and certifies that all the above information
is accurate.
SIGNATURE OF APPLICANT �_ _ .Ili!..._ DATE 9 �y fj"/
CONDITIONS OF APPROVAL This permit is issu =: ,:nt to the following conditions. Failure to comply may result in suspension or
revocation of this .. `1` . other penalty.
13. ISSUING JURISDICTION ❑VILLAGE CITY ❑TOWN ❑ COUNTY ❑STATE
NAME ,0 'S /! frc NO. 7 O - G 6
FEES PERMITIS) WIS. UNIFORM PERMIT
ISSUED SEAL NO.(S) PERMIT ISSUED BY
PLAN REVIEW $ ❑CONST. N
INSPECTION ■ 3g, NAME i e I • C n. h .0J
VAC
WIS. PERMIT SEALIS) He UQ I ELEC DATE
OTHER ( 1 ❑PLUMB
TOTAL $ CERT NO. /.
DILHRSBD -5823
ISSUING TURISDICTTnN /Ar rNTCV
PERMIT NO. ?c/o APPL. DATE 4
ADDRESS 7f /�'rp l ��14 `, P 4 e_
OWNER C v v ri 55-
NATURE OF WORK J-7 e aqt ' '
HEATING CONTRACTOR ec, `y, , ;Z 7 /1 /5"/"/". cy O44 jh "-‘
FUEL: GAS OIL dr SOLAR SOLID
. CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY AIR COND.
CHIMNEY: 4 "B" DIRECT yENT CON. BURNER
CALCULATED HEAT LOSS, /9- STEM BTU RATING /q ry,2 4/
MISC.
INSP. ROUGH IN 0,/, FINAL ; ET,
EST. COST p.e .O70 PERMIT FEES 4► U-pD • PD g' /.4/ e/
REMARKS j� _ `"