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OWNER t4&€ (L, IPYPHONE
#
CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITY/COM MUN ITY/STATE/ZIP
CAD
PHONE p
OL DAT
ARCIENG FIRM NAME
LICNC N
ADDRESS
CITY/COMMUN ITYISTATEIZI P
PLAN #
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PLANS EXAMINER
USW I 4ENE140 90.10
LOTSZ
APPROVE DATE
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IIIIIIIIIIIIIE
A PCAWT V ZI�H"FS •. I
9r3/1
D T 35432
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A 1 c�
TOTAL
FEE '
CA
C
NC
COUNTER B.I.
COUNTER L.U.T.
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E L E C T R I C; A L P E R M X T
TOTAL PERMIT COST IS $13.00
ELECTRICAL FEE COMPUTATIONS x Permi4 Fee (if applicable) FECt $3.00
'YEtV SVC-Temp/Canstr Suc i Y Tomo Use Prm t : h Aa d' l P o l es i it FEEt $10.00
P
a
NO.
OPERATION DATE
INSPECTOR
NO. /OPERATION
DATE
#INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33 Vecbiotlon System
2
Ftgs & Frms
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
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.
43 Final
10A
Fireplace T.O.
FIN ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
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
1
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
1
STREET rvAME