00023113 (ELEC)G
APPLICANT NAME (L, F, MI)
DATE
4-50410MARK 3 LAND
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OWNER NAME (L,F,MI)
Op FS M AME
PHONE p
LICNC p
ADDRESS
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C ITV/COM M U N ITY/STATEIZI P
PHONE p
BLDG. N CTOR
FIN L DAT
ARC/ENG FIRM NAME
LICNC p
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PLAN p '
PLANS EXAMINER
APP�OVE DATE
USE OF PERMIT
3, a 8' 9 ��—
f
f /
TOTAL .
FEE
BE %0 r 1144260'"A i
.+ ZONE D'b'
WRs S SSB
L S�Z I' • t'
RSB
END
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M M
$I E
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APPUPRMTp PS
DATE
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ELr=eTRfe.,A.1=FEE
3, a 8' 9 ��—
f
f /
TOTAL .
FEE
w!t 11
CA
CK
NC
I COUNTER 8.1.
COUNTER L.U.T. '
E L E C •T R 1 O A L t•" E R M I T
' TOTAL PERMIT COST IS • *13100
�' FLECTRTCAL FEE COMPUTATIONS * Permit Fee of appll,cable) FEF.- $3.00
T[ -;MP Svc- Temp/constr° fSuc 4 Y "Ftp mp Use Prat o N Add' .f, Poles: 0 FEE: $10.00
FORM 284.208(11.81) 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. 0. 0
P'
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
ELECTRICAL APPROVALS
PSL
P)
26 Power Pole ./
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
iI STREET NAME
APPLICANT NAME(L, F, MI)
PS DATE 95
int 5 ,t:Y
-MAMMAKK i LAND i
'
de d• ITYISTA 1 E Cr.0 LA
o IT fi E
Q -w C 61NITY/STATEIZIP Ave P
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U V A ;.LOT I
7WN .6
MOD' SB
R S
A00til
A
OWNER NAME (L,F,MI)
AME
PHONE #
LICNC p
ADDRESS
CITYICOM MUN ITY/STATEIZIP
PHONE
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC N
ADDRESS
CITY/COMMUNITYISTATEIZIP '
PLAN N
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
.116S
ZONE ORDp a v L
SSB' RSB I OFC
P9
A- END "SIDE
APPLIPRMT q
0 M p
PS DATE 95
int 5 ,t:Y
TOTAL .
FEE
CA
CK
NC
COUNTER B.I.
COUNTER L.U.T.
..f• I I I
APPLICATION FUR ,VLECTRICAL PERMIT
T W-1. 3 Y S A N A P F L. S C A T X 0 N U N L Y
FORM28E-208(11.81) INSPECTOR
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
Slob 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. C]
43
Final
WA
Fireplace T.O. 0
OP'N I
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 (Botts)
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
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME