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00021366 (BLCK)APPLICANT NAME (I., F, Mp,. - ' • - APPUPRMT # 0002f366 .. _ PS P DATE a r:0pfa/ 3 354 /1, A (uq I ' ADDRESS 4190 37,55 AVE: 0BREGON. ' - CITY/COM MUN ITYISTATEIZIP- '� lr�A3 ,QUX'P¢` A :p�0�'.."25 3-0660 � IGY �f RESSISPACE AVE ry iC.A ': V i ;T i"iM L7. �:1D1'I'ti {:I� CITYICOMMUNITYISTATEIZIP i. i �QiJINTA ,- r Got Y921 S3ptoll ' BOK 431 PAG .3gp PRC 016 C 2 TWN 0055 RNG 0,66, SE; 36 S ID , f TRACT - LOT MOD SB 11'. i1:Moo pA �'�.. TRACT NAME ' �t WF6 �C.i�,: 00 .KAX - PHONEq ,6X�ISO GAOW'EN .•WALL . CONTRACTOR -FIRM NAME - , .• LICNC # S ADDRESS -' r CITYICOMMUNITYISTATEIZIP PPHONE'p" B F AL DAT -AL I 'APCIENG FIRM NAME LICNC I7 i. ADDRESS . CITYICOMMUNITYISTATEIZIP. t. - PLANA PLANS;EXAMINER -' APPROVE DATE' ' t USE OF PERMIT- ERMIT6X300 t".'lARK-N lRtAI..L ..—&X300 '.ZON . I BL 00 FSB" '- SSB,' 000 '% SSB 000 O�BO ?! ' TOEE�.. - END.}' SIDE 1,0 p 0 - ri 'f ZONEORD p�,. LOT SZ CA � OK NC ..'-0OUfER B:1: .' COUNTER L.U.T. i.,r•>Y{'{.-!�H6 Nature of Commmt «» Aetion Tako n.*a .....,« ..«. Case Use No ,......«. ,situ` LEGAL Np'r'3'CE "I SiPED QN 7-1 82,DOUBLE FEE PAID 03 461 ..6X300 '° Al it ! 14A► -L $.6e. 511' . 'T I NSPErOR FORM. 284.208 (11.81) �. - I s NO. OPERATION DATE INSPECTOR '' NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums 6 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel ✓ 36 Inlets 8 Outlets 4 Grout Blocks r �' 37 Combustion Air 5 Bond Beams a 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 6 10 Fireplace P. L. 43 Final IDA Fireplace T.O. E] NO ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final V PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final Tank Pit L.Line PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS i 1 I P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME