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CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
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-PHONE#
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITYICOM MUN ITYISTATEIZI P
PLAN#
PLANS EXXAMINER
APPROVE DATE
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STRUCTURAL.
PERMIT
T H I S x S A N
A P
P L a C A T
X 0 N O N L. Y
TOTAL .
FEE
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NC
COUNTER B.I.
COUNTER L.U.T.
APPLICATION
FOR
STRUCTURAL.
PERMIT
T H I S x S A N
A P
P L a C A T
X 0 N O N L. Y
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FORM284:208(11.81( INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE 7
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. E]
43 Final
10A
Fireplace T.O. E]
No
ADDITIONAL INFORMATION i
,
- i
SEWAGE SYSTEM SIZE & LOCATION. _
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
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
TankPit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P)
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME