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00020343 (BLCK)
A3P(F+e9LIyG�ANT NAMEk �(LpF�.Ml) 1 i"IlJ f'4 ��e Fz:{l Pi1V•� �"� , ^+' �r y�sn,Ht, @ ADDRESS - � pC�,IpTYICOM�.My UN�ITyYISTATE/Z�IyPya - �. �y •l. V ilf` fl T'.�F� l'il.!'t'7 . {.i �.: {'�S�.�yQ�U �� y,, JOB_/SI E' DDRESSISPACE q C, .p�gp,S gory - . Y'I.V C:'. '1'i Y91p-al .A iY'dq....-y., 1a9,d r1,y. �COMUNI S3141.d:'/YT�TEIZIP BOK,. PAG': PRC -C TWN :RNG SE S I TRACT. LOT—. -OD,' �B.I MSB. �. Cv..-INC TRACT NAME .p b[ K r -�-9 B5 OWrrNiE�gnNAME (L;F MpI1� ;:. " = PHONE N . - CONTRACTOR -FIRM NAME .. f ` LICNC N ADDRESS -: i; i - CITYICOMMUN ITYISTATEIZIP to 6f PHONE.# BL C ,i FI/yAL Ab,{ ARCIENG FIRM NAME " �p LICNC'N� ADDRESS CITY/COMMUNITYISTATEIZIP_ 5 tP LAN N"-' � "PLANS EXAMINER 'APPROVE DATE - k- t •- USE OFPERMIT °" '" 4, r; v s �Tw��`L B•0.! ua toB� niiB•f cBu DJSfYlJ. .y. ?ONEORDN 1' LOT SZ ' v; VFW alt APP.LIPRMYN.. ry'DATE C.� 3 5 0 V 1 I. . TOTAL a r q, FEE ' COUNTER L.U.T. 35 0 �B.I Cv..-INC .; �60UNTER //4+ TOTAL a r q, FEE ' COUNTER L.U.T. 35 0 9xp � ►«,�. f l:iV+:� i . •- .�'.d. {J ♦�.17�N. ri ...T ai .,: r4'{3vv _ � Al v; ' J 2,_�•ti i FORM ensbB(,,.s„ -.INSPECTOR ..�i 43.txaa.� _..,..Y A.,��r.;*;i. s....... ., ...a_ ..� t.,.�... e5 w. ,..+:,,,.: .:a..� v.�a,,t. �'!rw "k'U`.�r'.:..�w�t: .. .�.t+�� . ., ., .d.: <_._�-..,f.:t�.+ iti ,'r-a�«;• *r. w..<,. ..-_. TOTAL a r q, FEE ' COUNTER L.U.T. 35 0 j NO. OPERATION DATE INSPECT NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Firms 40 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. 0. 0 OP N 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' PLUMBING APPROVA S 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 t it. 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 `.� A�PLIQANT NAME'�L, F'Mp- { ;ADDRESS, 9 ypyyy,.FFqq••//`/�•y�,'1IVY ' t CITYICOMMUN ITYISTATE/ZIP. ' JOBSITE-ADDRESSISPACE - - , ' J AVE , nypSsi CI7gOMMUNIpgZIP P. t-3,000. 1.4 � � .A � �11��?G.?� -�_ _ TWN.. � . M N V S/ o'. 'S . LOT OO.Q000 ;iIAA:b.: - OD'SB 1'b ' _ N`E '� TRACTNAME/ is Y i"►=,. (L•MMY71"l PHONE 11.1 {RVQ� p - B' CONTRACTOR- FIRM: NAME' - s, LICNCN „ R - .ADDRESS -' PITYICOMMUNITY/STATE/ZIP ". RHONEp 7777NSPECTOR FINAL DATE r: 'ARCIENG FIRM. NAME `tM1 LICNCq . ADDRESS .. ' Ig �CITYICOMMUNITYISTATEIZIP': " PLANS EXAMINER APPROYE, DATE, +�. USE OFPyEyRMITS qq M�ppg-''rra�p ij C*pV P9.AN.' NG,,_Wi"ILM. ..�gy BL/.�:, �iZE N. ..'-.VF4'T i1V t7 J ;5oSf7� �6B6/i'SN It ZONE ORD p- LOT SZ } `' �N-p o -.. �,Slb. k, 1 . FORM28E-208 (1181) 1INSPECTOR NO. OPERATION r 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. 43 Final 10A Fireplace T.O. OWN NO. ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall. 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 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 P/L P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures.....,..- ixtures,•. •31 31Service 32' Final STREET NAME