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1986, 11-21 Permit: 0014314 ResidenceSIGNATURE OF OWNER OR AGENT 1 "~~"". ^^D""""' CT ""_. ^,. ZIP` 6 °""""^"`' CONTRACTOR. xOU7.LASS ^""""""' ROPO:::,' "",. ",. ,.,. 8 ,.. """"""~. H�A*340KB ^"""'""G."""". ^""""= ".,,. ",. `.,. ,°~""`~ CENSUS TR: '°"~=`O"' PLATS. LOT & °","" FINAL "=`~~=E' =~= ."~" FSB 5 . 5 2 """ ."" ""E"^ PERMIT: JOB ADDRESS: . . CT MULTIP ) iIding Code Fee o aergy Studies Surcharge 'UILDIN� Valuation: Curr 41594 * of Floors 0 # of Bedrooms 000 oRIMARY STRUCTURE; / DWELLING. Group: R-3 S --Ft 1-009 Occupancy Load SECONDARY STRUCTURES; Desc: DWEL INCUB Croup: R-3 -Ft 1009 Occupancy Load -- sc| GARAGE Cpoopl M-1 Sq - Ft 542 Occupancy Load 1 ,=.,' `�9O7 JILDINC .'`ECHANICAi PLUMBING APPLICATION DATE ~"-" 1/21/86 Building Code Fee Energy Studies Surcharge '"~= $444.0O "' � |�^=E`"" ~ \ | ie """^"E"^" LE PERMIT TOTAL FEE TOTAL FEE TOTAL FEE Permit Fee # of Rooms 000 Type: VN Rate 32.00 Type; VN Rate 6.00 Type: VN Kate 6.00 TOTAL FEE "�"' ^`"' MECHANICAL EM (BTU): 100K or Less 01 Over 100K 0 Fee CE: Electric N Cas Y Oil N Coal N Wood N Solar N DIST`"��SOURCE: Forced Air Y Radiant N Heat Pomp N PLUMBING TOTAL FEE FIXTURES: Bar Sink 0 Drinking,Fount 0 Floor Drain 0 C/W Ripe 01 Dish Washer 01 Kitchen Sink 01 Laundry Tray 0 Sewer Eject 0 water Closet 02 Lavatory 02 Urinal 0 Shower 02 Tub 02 Bidet 0 Other 0 Garbage Disposal 01 Electric Water Heater 01 Roof Drains 0 Sewer ? N Septic/Health # 0 Fee Fee PROJECT# �801� $1.50 $15.00 $362,50 362.50 ll-7l-~� ���O� ��&4O0u ^� ^^ "" ~.."^ ..^~"u -11 . ,SOJECT FINAL MIS C S IGN RELOC D ErV MO H BILE OME 1