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Home My WebLink About0043672-HVAC (furnace) � �� ITY HK H N° 43672 � C OF OS OS PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �0�� ` �� / PLAN NO. OWNER �/Q YI t? ��5'��jGt � DESIGNER USE/NATURE OF WORK�7/L�� !�/'�h?Ccr° BUILDING CONTRACTOR Size ` Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �2-°�`Q—��H�� j lQ�� Heat � A/C ❑ Vent ❑ FueVSystem �- � Heat Loss,��r BTU'S �� e'`�'Z' 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 $ / �� Permit Fee Paid $ � �r �� Park Dedication $ ISSUED BY `Ej%� Date��/` 9s� Final/O.P. � '�r r'f� In the perform nce of this work I ee perf m ork pursuant to rules governing the described construction. SIG U E AGENT/OWN DATE � ADDRESS `�� '`""`_' � ' '�, 5,�' ��1 � /� /� ' TELEPHONE N (�✓� �� APP7. DATE .L! �` 4,J� PERMIT 1t0. � �� ADDRESS l�� /'"��^f !� � OWNER.��`1 �' �L�'�>'��l?�'�/ NATURE OF iJORK G = 'i G HEATING CONTRACTOR ��- </-- � ��' FIIEL: GAS-� OIL ELEC. SOLAR SOLID CnNDiTiONLNG FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A CHIrtNF,Y� "A' "B" DIRECT VENT _ CON.BURNBR CALCULATED HEAT LnSS /��,`q,7`-' SYSTEM BTU RATING��'�1 _ MISC. INSP. ROUGH IN FINAL EST. COST/�;��-d .c�J PERMIT FEES ��. � DATE PD�� REMARKS , I � � � � li ii i � I � I I