00027190 (BLCK)APPLICANT NAME (L, F, MI)
i
BY
HWY
JOB SITE ADDRESSISPACE
TOTAL .
FEE
CA
CK
C ITY/STATE/ZIP
COUNTER B.I.
COUNTER L.U.T.
C
C
TWN RNG SE S
A
LO MOD SB
TRACTAME
m
ER L, ,M)
PHONE q
CONTRACTOR•FIRM NA E
LICNC q
A S
PRI Kq Fr rl(3Af3T
Hwy
CITY/COMMUNITY/STATE/ZIP
fA
rJ Y'
PHONE q " -
24
BLDG. INSPECTOR
FINAL DATE
N
ARC/ENG FIRM NAME
-
LICNC q
ADDRESS
-CITY/COMMUNITYISTATE/ZIP
.�P.LAN q
PLANS EXAMINER
-"
APPROVE DATE,
r
USE OF PERMIT
'BL I ZON
R-1
FSB I SSB SSB
QS 00461 A RA
RSB OFC
QA TMD,
ZONE ORD q
LOT SZ
,END
SIDE
APPLIPRMT qPS DATE
47393
i
TOTAL .
FEE
CA
CK
NC
COUNTER B.I.
COUNTER L.U.T.
• ai
47393
S
APPLICATION FOR 1923ta GARDEN WALE.
i'MI S x S AN APP.LICAT 10NA'NLY
Mature of'Situs Comment - ------- Action Y4ken---------- Case Use No
OWNER MUST COMPLY WITH ORDINANCE 0421-FENCINGLAND-USE
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 & 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. C]
43
Final
10A
Fireplace T. 0. ❑
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 -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
31 Service
32 Final
STREET NAME