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. FORM 284-208 (2/81)
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CONTRACTOR -FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE 4
-
LICNC N
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N
LICNC #
Upro "ITSPRIINKLER SYSTEM
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7.32 PA l l/,fgyfjl
APPLICATION FOR STRUCTURAL Psk"IT
TOTAL
FEE
INSPECTORS COPY _ _p
,. APP�,:.1C.411ON FOR STRUCTURAL O MIT v
�. •rH IAN AYE LI CAT 1 0 N 0 N L Y
0
. FORM 284-208 (2/81)
-4 M
-4 ;E
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & 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.
Ej
43
Final
10A
Fireplace T. 0.
No
ADDITIONAL INFORMATION
11
Exterior Lath
12
Internal Lath
12A
Drywall
13
Finish Grade
INSULATION
Thick R
Value
7A
Walls (Botts) -.
i-
'W
+•'
128
Ceiling (Batts)
S
+
12C
Ceiling (Blown)
14
Final
'
- -
- - -
----------------------------------------------------
PLUMBING APPROVALS---------------------------------------------------------
---15
15
Ground Plumb
16
Water Piping
17
Rough Plumb
18
Vents
19
Sewage Disposal
1
20
Sewer
`
21
Water Heater
K
22
Water Softener
c
23
Water Service
_
24
Gas Test
c
25
Final
SEWAGE SYSTEM SIZE 8t. LOCATION
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26
Power Pole
27 •
Conduit
i
28
Service Entrance
f_
29
Wiring
24A
Grounding Wire
P/L
P/L
29B
Bonding
.
F'
30
Fixtures
31
Service
i
;'32
" Final
i
STREET NAME
P
M
•