1994, 05-17 Permit App: 94004428 Demolition6
11 AI 'I 'I ICA I ION W()IIKSI ii.l: 1
1. General iiilinitiation
i
I Petrel n be 1
Oti iildre-ii-
i (1 30 I /..:1Diner Plinite
(-sty. Mile 'Lilt
liiilioiliddiiii
L
Site Information
(1Th (11-4
LtgalDescnpiion
Properly iize
WiIiTIlisIikI
v:$
.4f
7..rttl%7Ir
: .
ek.t...
NuniliEnili ' —1-illings Illdings
Project Information
ern. 7-, (i4 1\1 u.S
1 Building Information
[Dwelling units
Lluilding dimensions
kad
INew I Oddition remodel
Change of use
Iliiilding 6601 -5Iones
1 Ildfaiking- 1 labdicap parkin4 SiiiiiikleThilem CsiliFal ?A alcrial
Noma foolaLe breakdown
malt Mr --r Uncovered /cover -id deck
FInIiJi 6itiemeni
IR-WIT:A-a basemen.
lineage
I_ Contractor Information
'VW Ming con raelor
R�415
11Ins:D *it )..3,y 0 pi lat-oti3/
Phone
14aturifilaress
g-.. 7!7 G41 ‘ 41,
Ciiy:staii:zip. fri vi ? u .
11.e.rdCa.v.1,._14JA,I..4 6al.et 1 (P.I..',k_-__ _ ..
t leafing c ntenetor
1.kinfeitsiTisbZi
I' bone
I leafing and insulation barn -mallow R—valueal
ileal source
Ih I ceiliig Vaullcd ceding Above grade wail
ilelow grade - Iloi - Sbb�ngiJi
Window Firnace effreincy
area arca
Pluitibing menhaden'
I .kep%e lief -
Mailing addrcis
7iiy. state, tip
License n bet Phone
Mailing a &let ss
rily, state. zip
nowcr CONTACI'
.1 ri .1 It... I 1111 v 1 "1 1 1111