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Home My WebLink About0041194-Electric (a/c) .3�1 �T H KO H N°- - 41194 � c YoFOS s PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� tG r�� 'L PLAN NO. , OWNER , `� � DESIGNER USE/NATURE OF WORK—L �/ C- BUILDING CONTRACTOR � Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit . HEATING CONTRACTOR � � / - O � � Heat ❑ A/C � Vent ❑ Fuel/System �� - Heat Loss ��'CtS� 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 / FEES: Valuation $ ��7� �� Permit Fee Paid $ 3/ ` �� Park Dedication $ ISSUED BY Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �SIGNATURE -P� J'-�-'-�"" � A /OWNER DA ADDRESS �v �� " ` ��O TELEPHONE# APPL DATE..—.,G f.� �C PERMIT t10. �l� 6� ADDRESS �� / �.�C_L'J/t4'!//7 �� OWNER /�6C�f� �7 NATllRE OF WORK /�� ,, HEATING CONTRACTOR �G'�/f2 �� ,�G��L�/�7 FUEL: GAS OIL E� SOLAR SOLID CONDLTIONING FORCED ALR N.GI. ELEC. BASE. STEAM SYSTEM RADIANT SIJPPL. _ CHIMNEY: "A" "8" DIRECT VENT CON.BURN•R CALCllLATED HEAT LnSS ��cL`5�— SYSTEM BTU RATING MISC. INSP. ROUGH IN FINAL EST. COST � rj% �� G'Z� PEKMIT FEES `�`��/'+'� DATE PD f 9 � REMARKS � + I � I � s f � i I I