00027254 (TT)f' APPLICANT NAME (L, F, MI)
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ITV/CO M NITY/STATEIZIP
MIA ADDRESSISPACE
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TOTAL
FEE
CA
R OHM]
C ,TY/STATE/ZIP
COUNTER B.I. .
COUNTER LU.T.
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TWN
RNG SE S
[PAG
26 050
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RA T LO
MOD
TRACT NAME
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-` OWNER AME (L,F,MI)
PHONE #
CONTRACTORFIRM NAME
LICNC #
• ADDRESS
"
CITY/COMMUNITY/STATE/ZIP
,
PHONE#
BLDG. INSPECTOR
FINAL DATE
1
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A-
ARC/ENG,FIRM NAME
LICNC #
ADDRESS
•' CITY/COMMUNITY/S,TATEIZIP
-
a
+P,LAN'# ^'
PLANS EXAMINER
DATE
A
.APPROVE
USE OF PERMIT
vc Dorn
6
ZON FSB SSB
SSB RSB OFC
5 020' IND
ZONEORD#
LOTSZ
-.END SIDE
i
APPLIPRMT # PS LAE
4741R
� f
r
TOTAL
FEE
CA
CK
NC
COUNTER B.I. .
COUNTER LU.T.
47415
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�FORM.2i4:20e (,,.B,; INSPECTOR
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
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. ❑
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 1 Final
_P.LUMBING.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
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME