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<br />•�Y. �-.,-- .. , . �Xx�RIOIt �NV�YAPE 1�V�RAGE uti�� COt�lP.UTATION
<br /> ' . (x'o be aubmi.t�e� wSth bullding permit appY+ca�ion) R �
<br /> �-____.:._<s , � tr
<br /> ono or two family dwalling �r
<br /> �ll other ' ,.., . . Owner ,
<br /> ^ � • • • . . Site Addreae'. . .
<br /> Con trac tor `�'_ � �_ �� � ,�.,,J� �:�, `� 3 � • r�.� � �
<br /> _ j t�a►te - ��`�{ Phone
<br /> LINEAL F'T. OF . . .
<br /> �xpos�n wnr,L . + . � . . _ li.
<br /> ----- -....+--._.+..r�'�_ +......_�'.,.,,.r.:�'__.-_'� above grade �+ .
<br /> � ' . . 'i'OTAL EXP05$D WALL AREA �•
<br /> .. . .. ...
<br /> OPAQUE WALL CON3TRUCTIONt 'fU" �value x urett
<br /> . I . , �
<br /> +�.r����� �=�.X sq. ft. � �I< � � n ,�, A, ...� (U) .(1+)
<br /> Detail reference —�'` . - "U"rf x. sq• L•�. '�t1 ,, . ,
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<br /> . . ' 11 t'"¢' � �{ ..�iq� � �t * 'a ��'�
<br /> attached sheete • � X Sq, fL•.=-`�"'� (U) (A)
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<br /> �� u ; � x sci. �t. . ... �
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<br /> �� �� x sq. E�. �, (U) (A) �
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<br /> i)TVIDI:U 13Y Z'OTAL WALL niiLn �'-'T""; ,- �. '` �` ' 11VG. "U"
<br /> �,�°'�r�`�].7 11vg. ��U�� Value, Stai:e Cade '
<br /> it00i'/CI;I L�ING s ' '
<br /> "1'OT111, 1112L•'il: � sq.' fi:. .
<br />�?eLai1 ref-e�:enco "U",_ x s �
<br /> q. f.i:. � -
<br /> f rom �---- � ' (U) (A)
<br /> E � nVu
<br /> r.it:i:�lched sheets.
<br /> � X uq. f-t. � , �' (U) (1�)
<br /> Desc�-il�e openings ��U°`� x sq. fL. _ (U) (A)
<br /> � X s�I. ft. � �(U) �A)
<br /> in xoof „U„
<br /> x sq. ft. a (U) ��1)
<br /> . q�pTALS_ ��_Xl�', � s% ,.�q� Ft. '� ,. � �U �
<br /> r��r�1T, (u) (n) vnz,urs ''� , . ' .
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<br /> I�I:V I'I 11�;1) llY 'i'O'I'AL IZ�)Ol'/ ,l,j . �` . � --1 ]1VG. "U"
<br />.;I•�I I,11'!(i /�itl;/1 ? _... . _...'.
<br /> , • ���i /1v��, ull�� Vn.i.lir�� Sil:f11.1s (:��<I�!� Vc:lll:r�l
<br /> , . J.q 11v��. ��U�� Valua, Gl:ala Cc�cic:, IlnvenLecl
<br /> MINNlsS01'11 L•;NI:12GY C�)DI.; M1IXIMUM
<br /> '171IS BUILDING �STIMI�TL•'D
<br /> UI'U LOuS '1'III:.i 11I1Ti,l).T.PfG U'1`U LOSS • _�
<br /> �. SQ. i'T. (lt'�1�.��11�: 41n1,t, F�. 17 =
<br /> . SQ. 1'T. ('I:I.I.�I.IJ(; (?. ()5 a I.I 1 �.L�_I ���'�J.
<br /> .� Q. I�T. Ut�V1;:177' CLG. (�. �0 � �'
<br /> �1VT1fL OTU I�JJ�IiR.�SQ• 1'`1'•� -...... ,
<br /> DL;GRi�E OI' 7'GMP pI�'1•"1?RI;NTT11i, �• .�",���� • '• ::��.0 y.,` .
<br /> • . � 1,��•'•�-�ti�ari.► ,�rr.►.�.r..�
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