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NAME
ADDRESS
CITY!COMM U N I TY/STATE/ZI P
PHONE #
LICNC #
ARC/ENG FIRM NAME
ADDRESS '
CITY/COMMUNITY/STATE/ZIP.
PHONE #
LICNC, #
-
USE OF PERMIT
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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 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 Domper
8
Vents
41
Smoke Detection Device
9
Goroge Fite Wall
42
Commercial Hood
10
Fireplace P. L.
43
Finol
10A
Fireplace T.O.°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) r
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
- -- - - - .. _. -- PL-UMBINO-AVrI;OVda5-
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
•+� ti STREET NAME
APPLICANT NAME (L. F, MI)
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ADDRESS'' - - ` ` " "r` ` '
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CITY/COMMUNITY/STATE/ZIP
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TRACT NAME
OWNER NAME (L, F. MI)
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CONTRACTOR -FIRM NAME
ADDRESS
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CITY/COMMUNITY/STATE/ZIP
PHONE #
LICNC N
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE It
LICNC N
USE OF PERMIT
BL
ZON
FSB
SSB
SSB
-RSB
OFC
ZONE ORD N
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END
SIDE
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FORM 284-208 (2/81)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
`" MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 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.O.
°o
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & 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
r
r
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 1 Final
STREET NAME
,Z(q
�_Iz't cc
�roval of these plans shall not
arm lt for, or an approval of, an
ro isions of the state or ca
must be kept on the 1�
®tet.
a4 -`V,4,0 Zen
/V/I-(/--5
DATE SIGNED BY
284-168 INVESTIGATOR
Form #243