1986 uwmrr "�"'",'Yy.,v R y�n•,�
Y
}P �'�ls'RWrR Ra.�.y,n9 YJ J�p (FVI µ,, ti {i•Y
sr"tr•\'Ze 'a'xirp•,,I y
iA it N i>rC>
C�ITY OF >.CUPER7INU0 . ,I
^z{ APPLICA710N FC7R RF§�DCNTIALJBUILDING p�RMiT. PRRMIT N¢MBER
' Axa
r .` 1 + CERfIIPIC417E OF Is NCX"
1 RY ,BUIGIOINO ,N$p ECTJON OIY1810N I QN��jf3 ,CT F�'i 8${. ?ROJI:CF > J
r4., Lopal pe plisn Tract p e
t ' Ooe0rIp110n.01 ,,loth - {�.B}10 -Ar,,'..�•�+iA•`.K.vs
n tAl tiPlgha Repelved By ,l Dora .I W� 9
Jf n}S\EO pl0 e" SVNOyII. Calce $INa IlOfpy Eleal "M h lel$Irdct lin rOvonledl on P , ul Yoa No Aloe o1 Dld
�1 _Dlpna Chocked EY c - Dato n p a
1 ApDliopt op A rOvOd ) rr Sopamto SINc1ur0 or AJVItIon/Allerolloa to Exist.Bldg
a( r by I Y Ooln�/�� / No of$Ipriod .Ilae_Of_)l llldl I&. -
Velhlatetl By I Oslo VaWaudn f d ole :.f. JO 1-Co nation CbrlllladlQ VorlQed By ... Ont, , P rr,� „754 r
a .... Ownol y. k/Nei PhnnB' �� fQ +
fi
Contractor: l fly Bud.LIC e
�[ COnllactef's Aderna6
{ P n Chocklu epltr Ie islealicablal ... S.oI Y..-f5 . Contracts, • Clactnedl. . Phone i
jinn Foo(pros pans u.it a .. ,..,
la ( p of 3. ...Act.N ... .J S..../.,i2:B-0 Clly Business I Irunun •.. Phpr o
'1 .Enrgy Plan Chock FPa (Cop or S Act. to )S Plumbing;
1 ;511onp MOBah Foe g . / Cfly Busineax I.Icollso .. 'Pheno
r Plumbing Pirelli Fee 5 ��,(/y..� +Icnbnll no Cooling ,
ek,.hJcal Permll Fra S ',L, S'X1 City OunLicss Llcunun •
r Mach tllp 7Cuole Pnrmll 5.... g' nrchilucl/Osagnsr Phone
ROeldentlal:Coostrucfon Tax... .y Enginucr-, _ ;,, ...:., photo
Mrec F00 g nn4° .. -1] Unknown,
Lr
.. I poen
MSao F49 g V IMI je, he Oe lu nn cu rl the ..,it la
j1 4 R I UUClnlN en,eh
Q1 I ll IN• tOmib
g .b nn am n e .0m tohemnesubject
Iowa CII nIIL
M5 t vCNATImE OP J
yn 1 • • APpUOANT/nWRE� �G u'�
tJ y EJtvlrpnhlontal elelue E%ampl', : O(her 'I �,inr un n Ilw m I,.n, ,ISP own.Rim P mhw•or iia
n 1 7L'Dpsign R0510W A.pprd yol Oldp $ilo $i¢n .Cet acro LlCense, ands bdna IPN m.Y Lleen., No
Uae Zone .:P.0 Condltlie 5 ,..-u Ju paean full torus and 41(Pq of
Contl Uso Pb
it,#. Vali co P .Parking Spaces i CelIli,"'Al-I nm.erne nl a ins U., OJ lbgti. 1 n.tl lona W Rba
r .AppT6V0d L+y pate. C.m,.,m s LICeo•o Loa rut I OJ,b el er.mollbh.l' :. ..
j "•. I I 41 :ArA ,ellen 111:4i lu n rcJl loll nPPalnllnn,gnd'SW1.Ihet 1hn aa0ie lA
t� ' 1 ,d_nrl I comply w 11 II fllY 11 h co.'s 1 51.1: 41 h lett dNinp
I IVI 1 agree IP aA,. Indemnity end n p.hwmbae tire.CIIY VI Ca Ill.,'• ��i�crmehmoal Pormil stentoi Eossmenl. Pf
�Eurb Gutlar, Sidownik Orivnwa Ro luco ROpJir ogelr . line pec ludgmnma costs end.ga gel ne which mall any wily
Y P .cane-Agnmel treed City In cu •eV once'or Ila Annilrq or Ihln plTlt.'Y '
BOwQf . Cone F'Oa g Water. ... Miller g a1M1NATUOF.,bf +
1 A0loampnl Iii COmplellM1n ol'Puhlic Works Improv0lnenl5:. .. APYUCANT/C01,11 ctuR :. ," =,pAyE
r plaha Cho hint Oy, I� 'Oslo_'... ApPrcvud BY: Ds)p. . .,- norF. 'whoa.pr orgy yend.tea this Irvin i:pnulblV• a'aelldina Peron.'•I'l,
+{{ P.!mQ a.pbet.ngbremee",it eine rPld.•Oepid WDIY eel be rammyneed w101k1
t70'd.ys Item vIldeuoe d.b,or 11,40'eulhaHad cue Welbx'be erp•nde@ or
I r , I ab.ridoneA hd.P"od*dI42Ddg•alb,w.,4 h2emM•nnd5';.
k-mlT.IN rALLATION NOi EACH IFEE
Light Outlets. ... .
Fixtures.,....... .. Rccoptocice .. '.� _ - PCRJAiT INSTALLATION _ NO. EACH FEE
TOTAL'NIJMBEII (loss Ih{,n 1000 wunal .3 15 .5U , //S. Gds Svslom'•Hi h uplo 6 nullat+ .^SI CV
Range .. Cooking Unit Oven .. . .1 2.p(1 Erich'additional outlet .. 1 CO
Dryaf. Garb. GI pi. Dishwasher LUC Wale, System pnulanogon, All. or Repair) I 4.00
MOTORS: 1 to,or Idea /
2.nD :t'J�•(�'d Wale, Closet.,. Wale' 140-10,.._ I.d. Tray-.,......,...
4.a0: ...
potaryGrealut owe 1 HIP orll alive than r ill+ . 3,50 Lavatory,.. Shoyvl Von Bathtub...Sink_.... ...I -3.00. .....,....
Tempora Power pale or Jin vr:c _IOtI am h.u0 1 WUnlr,lAnch. Olrhwasher linrlr Blep
ry
200 amp 7.00 SOwp, ..
,: Tline Qock ... .. .. 1.50 Lawn Splblhlar SY'•. SL.Oo l , nlld vyn 5 SOI, ll UJ .
lac. so o pre,c,trots L.... .... ..... ....... .. ..... . . YQCU•Ii0
ink Is
NOW Aea{Qonll al OrcupJ•I<�et, ..,a to InIQICUpIdr Wald, Soflvnpr. d•GU .......
9.�L�500 aa. n.d2..Q4 Y01- Plumbing f+filing vathoul Ilxlw.e ... e,
n u 1'100 534.50.............................. h11no, (Sire Old. I:un mit .. x .......................
a .{_...._J.O
I, . . 70'r-150 24.50 1051-P0000 37.50.............................. 1 I•R >♦. .....................A.i51....'Yr....
751-1000 25.00 x001-2256 30.00.............................. Permit Filo .._.. .v ...... ...... ...... .........:...:..:50.00
,alit=1250 28.50 2251-75 00 4::.00.............................. IUTAL PLUMBING PEOh11T FEf; (plus penalty it uPP•']1 S ,Po
/`anal, Fill...............................................F 0.00�f,
I:LECT nIC,IRJ. PEnkn-r.F'E6: (plub pcnany li app;)1 SR'Y{cU _;, PERMI'T)NSTALLATiON ND. _EACH FEE
FOrl:Ild Ali llntl .. to loom I, --
R • era,100M.. ..L SIO 00
Fomes/round ntlori O 1. Cominn Cum'ng Unit. .11 3IonjHji
y: U:il¢ h 15 Inu11JP I U.00
PlulnUing r,IOcpI1!hs,k 9.6f)
Io 50 ton/HP _
'ROupll klurb cal
�k,arra .Pip Ul;ng abd Iirahnq H it tan rl('
5111.1110P. R LlmrnY pu,o Hentp Willi IIe01Ur U 00
z Oda Tact Fluac other ll m.abovc ., 3
IR .To pw Y'Puwc pea IL 6I : ' nl Fan, KlI hon Ruth .... 0 OG
_ a I �
r F111n1 1"lorilical - La mnl.Rlcinl 71nn&R Hood q tlU L
I Fidal Dullding!Mechanicalq.
�1 Fllrnll U mfirl WUYIkw 'A andlen n 11JOT Poll-p Poo
1 or r'd S Il Oo
c > g •• P ) Leal Ind, Fe Jplus p llal!