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1915 (SFD),'APPLICANT,NAME F, M I) Y} ADDR ESS ..�..-,•-�n,•�1l�.lw•..:. CITY/COMMUNITY/STATE/ZIP '• - •TWO NIAL.c JOB SITE-ADDRESS/SPACE D • 8 {{CIT�Uy/COMM11U,,'IT S�gTrATE/ZIP _ `�`i-y A ' BOK PAG:,. PRC C . TV 3 �lo 0.0L 9 a' .. •. ,...• , ''"' 1' T0RA+'CT,, �y �` LOT,,MOD oo •� TRACT NAME - Ae� c i Lae _ OWNER NAME (L, F, MI) - CONTRACTOR -FIRM NAME/ .ADDRESS - CITYYCOMMUNITY/STATE/ZIP • .- PHONE.H'. A; i IVI ' YV'. P..• . =LICNCA 'ARC/ENGFIRM NAME 4 ."ADDRESS- °CITY/COMMUNITY/STATE/ZIP -' PHONE N •. , 4'ICNC'N f)OE PERMIT. " ' 'DWL4 ANI ATT CAR 031 • 1, FSB SSB, y'ON{ qqB��L, pSS. h4' hF - ZONE ORD k.: • - LOT SZ ;:. '-_'-+•,u�.•x�•a.-s.� .v.r-" '�!'--�--..:-..-4'rv..+ LV'Q_ -r-.,yf�a'� ..�..-,•-�n,•�1l�.lw•..:. %--ti.-•�-..sem..-. _ 0019.54 ° r y s t-"• jae,'" s .,•i.�'01'STp iFwji. W 6 � N'Y P09 019 t4oxp 1_G. 11 :cii a' .. •. ,...• , ''"' 1' , t 1 rYl +6•' .:sii7 - A; i IVI ' YV'. P..• P ifi' ? •1N. '0"0 1 .9• •'b9 �i,4 4 . y' FORM 284298 (2/81)' 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 & 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 Goroge 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) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS- PPROVALS15 15Ground 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