1993, 09-14 Permit App: 93008354 ReroofGeneral Information
a
rob address
APPLICATION WORKSHEET
a?a?o? GJ a ora
Owner
r'4rh , f
Mailing addl✓ e / ,� /
/, 2 /gJ#etztid
City
��.
' Site Information
ti
Stale
93, f,3 -5s,
7,-
67-04-2-5
Thal number •07OS—
Phone
zr
9e, b 4-
LProject Information
I Petnut Use
West --or •
DWellmg units
adding dimension$
IUccupanlload
lolalaquate rootage
Square footage breakdown
Main floor
Uncovered /covered deck
Second Iloor
Other
ratan
Standing height
Keq'd Parte( 'I Handtapparbgg ibpnotk+system Icnttal Matetul
1Remodel jcm age of use
Stones
Frntshed basement
Unfinished basement
taange
L Contractor Information y
Bwldmg co
'sense nu r
.O 4) Air. Cnc wzrSea
3 S-Oio7
ice
Marling dd
,
"o7 & 4 �`ic-c
City, a e. rp
•
o
Heating contractor
i1/� 9Pr?
r
r
tinting and insulation iorormation (R—valtrea)
Hal source
•
I -tat ceding
Vaufled ceihng Above grade wall
Below grade wall Floor, Slab on grade
Door (u—value] Window Pericles alimony
totalwusdow area R of ltoO( mess
Plnmbmgcqulnelor
l.cense number
Mailing address
city, stale, zip
Phone
License number Phone
Mailing address
Lily, stale, vp
Other/ Leader
License number
Ma Lng address
Lay. state h p
Phone
liPROJHCT CONTACT
SHONE