010635 (ELEC)APPLICANT NAME (L. F, MI)
ADDRESS
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CITY/Cr <7 ITV/STATE/Z P
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JOB SITE ADDRESS/SPACE
CITY/COMMUNITY/STATE/ZIP
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,.TRACT - LOT
10011 Q
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MOD S13 V
TRACT NAME
OWNER NAME (L, F, MI)
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CONTRACTOR -FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE #
LICNC # "
ARC END FIRM NAME
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ADDRESS
CITY/COMMUNITY/STATE/ZIP
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PHONE N
LICNC N
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USE OF PERMIT
BL ZON FSB SSB I Ss, I RSB C
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ZONE ORD #
S1159'-
LOT SZ' • - ND
1
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APPL/PRMT pPS DATE 0 10 6 ^ r
lY
aTOTAL
FEE F
_INSPECTOR S COPYz
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0 1063 0.
TOTAL PERMIT COSTAS.
-TA MP SOC"'Toop/Garnish+ avt t Y TeMj#. U%0'%Ot MA ll N Auld ll P o lest 0.- FEE z: $10.
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046,
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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
Slob 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. 0.
°o
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ADDITIONAL INFORMATION
'
.. .r -_ ._ .._._ _.... ......_....___r..._.
SEWAGE SYSTEM SIZE 8r. LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
_ .13.. -Finish-Grade--......--.,—_— ... ..r._.- - -. .,_
INSULATION Thick R
Value
7A Walls (Batts)
128 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
ELECTRICAL APPROVALS
'P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding WireZ 7fi �i
�v
29B Bonding
30 Fixtures
31 Service
32 Final _ �F
STREET NAME