00014103 (SPIN)FTUI WESEWT DEVELOPMENT Chi
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CONTRACTOR -FIRM NAME-- ...
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N
LICNC #
ARC/ENG FIRM NAME
ADDRESS
CITY/COM MU N I TY/STATE/ZI P
PHONE
LICNC N
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REINSPECT10H Piet
R INSPECTI 14 FEE
TOTAL
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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
26
27
28
29
29A
298
30
31
32
Power Pole
Conduit
Service Entrance
Wiring
Grounding Wire
Bonding
Fixtures
Service
Final
SEWAGE SYSTEM SIZE & LOCATION
I I REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L P/1
Lj
STREET NAME
FORM 284-208 (2/81)
p r I T. FOR REINSP5CTION FEV,
TOTAL PERMIT COST IS
ri
1-1
0216.49
NO.
OPERATION
DATE
INSPECTOR NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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
11
12
12A
13
Fireplace T. 0.
Exterior Loth
Internal Loth
Drywall
Finish Grade
❑
°o
ADDITIONAL INFORMATION
INSULATIONI Thick I Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
APPLICANT NAME (L, F, MI)
4
D R SS
AVC ,��AREZ
FEEV
p11�y
x/ COfy�fy]Id•#.P�jE/ZIP FrW �Pn'if7 Af 1! 17
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1.43iiE
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,CONTRACTOR -FIRM NAME
:'ADDRESS - ,r
CIT\'YCOMMUNITY/STATE/ZIP
PHONE #
LICNC #
ARC/ENG FIRM NAME '
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE W
LICNC N
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APPL/PRMT #PS DATE 021648
0 141 o IA10340,4482
a!
I
I
3
REINSFECIXON FEE
TOTA
V1
INSPECTOW5 COPY ( /
15
16
17
18
19
20
21
22
23
:
24
25
26
27
28
29
29A
29B
30
31
32
STREET NAME
Ground Plumb
Water Piping
t
Rough Plumb
Vents
Sewage Disposal
Sewer
Water Heater
Water Softener
Water Service
Gas Test
SEWAGE SYSTEM SIZE &. LOCATION
Final
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/II
Power .Pole
Conduit
Service Entrance
Wiring
Grounding Wire P/L
Bonding
Fixtures
Service
Final
STREET NAME
F
,
APP'LICATIO" FOR RKINSPECTION FEE 021648T
A P P L I C A T 1 0 M 0 N L. Y
INSULATION Thick
R
Value
INSPECTOR NO.
NO.
DATE
OPERATION
DATE
MECHANICAL APPROVALS
33
BUILDING APPROVALS
1
Set Back
35
' 2
Ftgs 8 Frms
& Outlets
2A
Slob Grade
38
3
Steel
Appl. Clearance
4
Grout Blocks
41
5
Bond Beams
Commercial Hood
b
Roof Deck
OPEN
NO.
7
Framing
8
Vents
r
9
G,noge Fire
Wall
10
Fireplace
P. L. Ej
10A
Fireplace
T.O.
'11 11
Exterior Lath
PI' 12
l2
Internnl Loth
�7 -- 12A
Drywall
13
Finish Grade
INSULATION Thick
R
Value
INSPECTOR NO.
OPERATION
DATE
INSPECTOR
12C Ceiling (Blown)
MECHANICAL APPROVALS
33
Ventilation System
34
Plenums & Ducts
35
Furnace Comport.
36 1Inlets
& Outlets
37
Combustion Air
38
Compressor
39
Appl. Clearance
40
Fire Damper
41
Smoke Detection Device
42
Commercial Hood
43
Final
OPEN
NO.
ADDITIONAL INFORMATION
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
f 14 1 Final
I�r
4