00022135 (BLDG)APPLICANT. NAME (I,F,,MI) "
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CITYICOMMUNITYISTATEIZIP-
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JOB SITE ADDRESS/SPACE
.77965 AVE M ONTEZUMA
CITYICOM MUN ITYISTATEIZIR,
l:A''t' UINTA CA 92.2530000
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OWNER NAME (L,F,MI) -PHONE
MEROX -CORPORATION' �Y,
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CONTRACTOR -FIRM NAME ,' - -
LICNC #
ADDRESS
CITYICOMMUNITYISTATEIZIP
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BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS '
CITYICOMMUN ITYISTATEIZI P -
PLAN #
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT ,
FAST-FOOD RESTAURANT"PAPPY°S
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FORM 284 208 (1181) INSPECTOR �y,,•
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NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
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
10
Fireplace P. L. 0
43
Final
10A
Fireplace T.O. 0
FI
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
_ -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
REAR OF PROPERTY LINE
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME