00024885 (ELEC)APPLICANT NAME (L, F, MI)kMPMARKx
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CIN/COM MUN ITYISTATEIZIP
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A- ailibITA CA
JOB SITE ADDRESS/SPACE
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CITYICOMMUNITYISTATEIZIP
9225,311000
BOK PAG PRC
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T ACT LOY
MOD
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TRACT=NAME
OWNER NAME (L,F,MI)
PHONE #
CONTRACTOR. FIRM NA E
LICNC #
ADDRESS
CITYICOM MUNITYISTATE/ZI P
PHONE#
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITY/COMM UNITY/STATEIZIP
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PLAN#
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
r
BL ZON
00 i
FSB' SSB
SSB
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RSB.
00
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LOT SZ
END
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SIDE
APPLIPRMT # PS DATE 7 5 2 0
12'
TOTAL .
FEE
CA CK NC COUNTER B.I. COUNTER L.U.T.
47520
APPLICATION FOR ELECTRICAL PERMIT
THIS IS AIN APPLICATION ONLY
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Nature of Situs Comment Action Taken ----- ----- Cele Use NA
TRACT MUST RECORD BEFORE PERMIT CAN BE ISSUED CIJ-2475
I
1 FORM 284.208 (11.81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs 8 Frms
34 Plenums 8 Ducts
2A
Slob 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.
43
Final
IDA
Fireplace T. 0.
OP'N
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
PiL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME