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FORM 284208 (2/81)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
S
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.
°o
__.___..._---_:,_.�s___.
ADDITIONAL INFORMATION
_______---_--- ------
SEWAGE SYSTEM SIZE 8t LOCATION
11 Exterior Loth
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
P/L
1
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
iQ,PLICANT NAME (L, F. MI)
-.
.+ADD W
CITY//cCOMMUNITY/STATE/ZIP
fin..
1.�1•-�-' 1.31 'nom X56*' 1, , 4Y
�J08 SITE ADDRESS/SPACE .
s
CITY/COMMUffN'IITY/STATE/ZIP'
&
LA 46666
,'BOK'. ,
7
PAG PRC
4
'C
TWN
RNG SE S
TRACT
LOT
•.t
, MOD
SB
.
+
7 =TRACT.NAME
-
OWNER NAM11 E (L, F. MI) -
_
7'ACININE KEN
CONTRACTOR -FIRM, NAME -
I.A
ADDRESS .. .. ,- .. _
CITY/COMMUNITY/STATE/ZIP
L..
sl -
i . PHONE p- LICNC p
�q
"'"'t�.' n" '34
ARC/ENG FIRM NAME
ADDRESS- '
CITY/CO MMUN iTY/STATE/Z I P
PHONE q -
LIC NC #
. USE OF PERMIT
BL
ZON
FSB
SSB
SSB
RSB
OFC-
ZONE9RD #
LOT SZ -
END
SIDE
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs 8 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
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
toA
Fireplace T. 0.
°o
-----------
ADDITIONAL INFORMATION
'
'
-- -- ---------- --- - -
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Gude
INSULATION Thick
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
-.-. --r--- --- FLUM13ING'APFROVAS---------------
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
,
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME