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CONTRACTOR-FIRM NAME
ADDRESS
CITY 'COMMUNITY/STATE/ZIP
PHONE N
LICNC N
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N ��
LICNC N
kdbr,km GAS METER , A)JO PIPING
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fish,
41 Q
AD
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ZONE ORD N
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END
SIDE
400
02178/6
LYMIG FE8 6v0,-
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TOTAL
x • a , . FEE
- - -
021786
Pi�.UHUXNQ VE9tiIT
TOTAL PE.AnxT COST IS
tlicablo $4
�F# f�ING SYFEIC ',g1EM � to tettper-Tit�t� � �, ory arse os tlett�l 0 ��: : s.. i0
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NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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
Roo( Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
G-oge Fiie Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
°o
- -
ADDITIONAL INFORMATION
---
- - - - -----
SEWAGE SYSTEM SIZE & LOCATION
.11 Exterior Loth
12 Inteinol Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING- -APPROVALS - - - - - - - — - -
15
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 19
24 Gas Test
25
Final
S
Tank Pit L. line
P/l
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
1
P/
0
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
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ADDRESSt.1
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:CONTRACTOR -FIRM NAME
F�
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CITY/COMMUNITY/STATE/ZIP
PHONE per.
LICNC M
FARC/ENG FIRM NAME
'ADDRESS
4
CITY/COMMUNITY/STATE/ZIP=
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PHONE p
LICNC 9
-
USE OF PERMIT _- '
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END
'SjIIDE pp-
021783
284-208,
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ver-tilotion System
2
Figs 8 Frms
34 Plenums 8 Ducts
2A
Slab Grade
35 Funace 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 Deice
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace
P. L.
43 Final
10A
Fireplace
T. 0.
°o
ADDITIONAL INFORMATION
_
-_------------------
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath '
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final
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
Tork Pit L. Line
P/L
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