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HomeMy WebLinkAbout0042348-Building (porch roof) J�/ - IT HK H N� 42348 � _ C Y OF OS OS PERMIT APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT i� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � � ADDRESS �� � ' � ,AU`C• PLAN NO. OWNER � 1 M �� N�`� DESIGNER USE/NATURE OF WORK C � U��'r ��T� �—�r ���v l ��ZCI^� a�� (��`�ct S\1J�c L�- ��U\l..�l'!vC-3. o7Z--A2/i✓G �F �-� SKrn/GC-�� BUILDING CONTRACTOR ! //I�� / l�L �S�CG� Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const.� Occupancy Permit �'� HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S 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 / C� " �- FEES: Valuation ���� � Permit Fee Paid $ ` �� '' Park Dedication $ ISSUED BY Date �0 �6 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' � � a � � AGEN WNER DATE ADDRESS [ <C>C1 ���G7��?� I�� V�.h'` Gf/2S C p�3 3'-(��I 7� TELEPHONE#