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CONTRACTOR -FIRM NAME
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ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE p - /
BLD E R
FINAL DATE
ARC/ENG FIRM NAME
LICNC p
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PLAN p
APPROVE DATE
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2X30 RETAINING WALL.
$10.00
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TOTAL
FEE '
CA
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I COUNTE ' !
COUNTER L.U.T.
P E R M I T FOR 2X30 RETAINING WALL.
TOTAL. PERMIT COST 13 $10.00
2X30 RETAINING WALL
FORM 284.208 (1181) INSPECTOR
$10.00
NO. I OPERATION I DATE I INSPECTOR
BUILDING APPROVALS
NO: I OPERATION I DATE I INSPECTOR
fj MECHANICAL APPROVALS
1
Set Back
r�
33 Ventilation System
2
Ftgs & Frms
�.
34 Plenums 8 Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
r
36 Inlets & 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. E]
43 Final
IDA
Fireplace
T.O.
P'
y
ADDITIONAL INFORMATION
T
!
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPR VA
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
Gas
25
Fin
Tank Pit L.Line
REAR OF PROPERTY LINE
... -
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