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STATE Of WISCONSIN W ISCONSIN UNIFORM
DEMRTMENT OF INDUETRY,LABOR AND ��/�_Q_
NUMANNELATIONE PERMIT NO. «a r-- �
DIVIEIONOiEAfTYANDBUILDINGS BUILDING PERMIT �-
zo,e.w��«aroH�ve. PARCE L N O.
eox�
�"°"°".'"'.�"°' APPLICATION
WIlCOM61NSTATUEs tOlA3
PERMIT REGIUESTED I�CONST HVAC �ec ❑PLUMB
�Ow r's Name Mailing Address Telephone
�S - �.vp�"�'..S�r� 6 a - ,��soT-.<► ��`-
CoJ�ctor's Name , Mailing Address �/ Telephone
C9 �-/��1�" l�'/�c� �SP // ./v"�=u� . _ o�-3S-�a'Z-C� �
PROJECT LOCATION v. ��., SECTION , T n,, R EIorIW
B��g Address ' ) r !/�� Su4�vision Name � ���� Lo�. Block No.
i�> V/�.- ` , ' L/ l'— �.�—
Zoning istrict Lot Area Front � Rear Left Right
�" � ����.✓� Sq.ft. Setbacks ��" ft. ft ,�� ft. �.'4^ ft
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
Entra�ce ,�nel spacs wace�
New ❑Addition ingle family �^ �orced Air Furnace Fuel Htp. Htg.
�, Size: � AMP Radiant Baseboard or Panel
Alteration UTwo family Servi LP Gas ❑ ❑
Garage ❑Other lnderground �Heat pump � �
Attached Overhead
❑Boiler Nat.Gas
Detached � ❑Central Air Cond. Fuel Oil ❑ �
6. CONST.TYPE 7. FOUNDATION ❑Other Elec.
❑Other Wood ❑ ❑
❑Master plan no. ❑Site const. �Concrete 8, PLUMBING Solar ❑ ❑
(ifapplicable) � anufactured ❑Masonry Coal ❑ ❑
ounids ❑Treated Wood Sewer Other
9. AREA 10. STORIES
Dim�ns�on ❑Other �Municipal
�Basement Z� sq.ft. 1-Story 11. USE Septic
�2-Story ❑Permit No. 12. WATER
�LivingArea z''�L� sq.ft. ❑Other �Seasonal ❑Private
�ermanent
❑Garage sq.ft. ❑Other �1Vlunicipal
e applicant agrees to comply with the Wisconsin Uniform Dwelli Code and other Municipal Ordinances and with the conditions of this permit;un erstan s
that the issuance of the permit creates no legal liability,express implied,on the Depafiment o3 Municipality;and certifies that all the above information
is accurete. ,� - ����
, . �
SIGfdATURE OF APPLICANT �J � DATE �
CONDITIONS OF APPROV AL This permit is issued pursua�t to the following co ' ons. Failure to comply m�y result in suspension or
revocation of this permit or other penalty.
�3. ISSUING JURISDICTION ❑VILLAGE �ICITY ❑TOWN ❑COUNTY ❑STATE
�
NAME �S'����� MUNIC. NO. � � — � � �
FEES PERMITIS) WIS.UNIFORM PERMIT pER IT ISSUED BY
ISSUED SEAL NO.IS)
PLAN REVIEW $ ONST. NAME '
INSPECTION �— HVAC � �
WIS.PERMIT SEAUS) _�' �� LEC - DATE ���7�� � .
OTHER( 1 �� /) PLUMB CERT NO. �5 ��04"�
TOTAL$ "` �
DILHR-SBD-5823 ISSUING JURISDICTION/AGENCY
• � .�
_ �... ,
� ��- � . ���Z
DATE �
NAME �i ^ ADDRESS I �c �� G�.� �l,(���e��,��_ ��
LOT � 3 �, B LOC K '— WAAD � 3
S UBD I V��;V �.l' .�rc,.�— �-f1G�. �`,C%f��,,,; ZON E "��
STREET N0. 2�Z5� �-L . LOT D I MENS I ONS "I O/X I SZ�
SIDEWALK EXISTING YES � NO �
�
BU I LD I NG GRADE E LEVAT ONS STAKES SET AT S I TE , �' � , I 9 :��'"-' BY �4 � `
e
FEE: $2.00
�i
DEPARTMENT OF PUBLIC WORKS
I , the undersigned, owner or agent of the above de ribed property agree to have the
grade established before excavation has commence
1
� n"�� ° �
.
. ��Q �