1993, 08-10 Permit App: 93006844 ReroofILbaageot use lt
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APPLICATION WORKSHEET
Job �Iaddressr.901 lW 1 J(N/ Q c led
11
l'areel number
Phone
93 -6.71-141
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Site Information sit
Stale
W4-
992o
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Project Information
111'ermd Use
41csm
I`.dddtoo
ttemodel
Building Information i
UweUrog amts
Budding dimensions
(Xcupanl bad
-total square haulage
IBudding height
Sega parking I Handuap parnnbhpnober System IlktllalMaterial
Ibtones
Contractor Informationy
build tog contractor
Heating and insolation iorormal'ron (R—vatues)
Heat mums
tlalcedtug vaultedceding ADove grade wall
1lelow grade wall Floor blab on grade
Boor (u—value) window pomace ellreency
lout window area V. ollbor area
i
Plumbing contractor
License number
Phone License number
Phone
Marking address
a address
Lily, e, Zip
Heating contractor
License number
Mailing address
City, stale. vp
ty, al* le. vp
011ier ( Lender
Phone
II PROJECT CONTACT
Licence number
Mailing address
Lily. slate, xtp
• Phone
PHONE
11