00024890 (ELEC)APPLICANT NAME (L, F, MI)
i '
MM N TYIS TE/ZIP
d 4
JOB SITE ADDRESS/SPACE
CITY/COMMUNITY/STATE/ZIP
t
` BOK PAG
PRC
M
C
TWN
RNG SE
S
'. TRACT LOT
0 16786 1 on
MOD
all
SB
TRACT NAME
OWNER NAME (L,F,MI) PHONE #
L AND Ca
CONTRACTOR -FIRM NA E
LICNC #
ADDRESS
CITY/COM M UN ITYISTATEIZ I P
` PHONE#
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC #
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PLAN#
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
v
BL ZON
001 RI
FSB SSB
00
SSB
oo0
RSB
00
CK '
OFC
IND,—
COUNTER B:1.
ZONE ORD #
LOT SZ
END
' SIDE
APPL/PRMT p PS DATE
47526
t
r.
' TOTAL .
FEE
CA
CK '
NC
COUNTER B:1.
COUNTER L.U.T.
26
APPLICATION FOR ELECTRICAL PERMIT
T M I Sa I S A N A P P L I C A T I 'O N O N L Y
Nature. o,f Siv us Comment - „.a„.�, --- Action Talton �,.........��.:�.. -- Case Use No -----
TRACT MU9T RECORD BEFORE BUILDING PERMITS ISSUED
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blacks
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
IDA
Fireplace T. 0.
P'N
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
I1 Exterior Loth
12 Internal Loth
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
PSL
` REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME