02005 (SFD)� rt �•�'VR'�rr
TEN E ( V60
Ip0 WAY � .�!�j,
�AyW��� �yFy�g.��p,7INA
�j j,� p {�..p� [gip
ir' AIVIl L/!� Y'tf,�.Zl {.n I Y 4f!"!' "., Y G "T M 47 W V
•wi���
ESSq/S{PACE AVE
Jy
•(t'��nf�A•{{,,��
y�I,' pip rr.�9/�.�(p"��
c1lamo F7"r1RZI P W A 52225 7` 0 0 0
BO��pCJ ih7
T..7',43
} {f 2�+.
E{LpE��tti����ttxpr�C1�At�.::.
TWN
V 4FV tl1
S79 it
S
T{J
�.y7�
LEI o
o
volIiA
SB'
TO
,,WlWmAQ 6111 "OLK 101
tcWt-1€ mVM mq(ptp TKF. 4,
�{..[.:'p 0a0000n4Q
F�iIfieyr �yTA�x./ZIITITY
644
y'�CpA�!",
T
ARC/ENG FIRM NAME . •'+- �:
ADDRESS
CITY/COMMUNITY/STATE/ZIP•
PHONE 0LICNC
F"
p
'• ry
- i�; fi•
MIT
:W OLF •..� of ' ; d
Kt
el,
Gia
•
4'
, .- j
:i...TOTAL
FEE
91"D
J.QJ
R
=_ ZONE ORD q
OT SZ
LOT. SZ
if3 �3
D
oil
4Rt-10080
40
t"ilN�3'3' UC T10.0 F' X
;
�v p'
E{LpE��tti����ttxpr�C1�At�.::.
+FES
{p�.�n:ya;
s"T FEE
,
t"C�tll'illliAO„ t :'I+UASC )4,
1l `S' - ;
:i...TOTAL
FEE
a4,
�, - -��_ .. `•- uv�r[�.(vK a �,vrT w -•f ---",--. '�-----tee
f"g- U-C 7- IJ.R, A "L" C f6l
-TOTAL li-PERMIT 4r��,�'l' ,ice T"
"
:tlt4�,tF�i1 1,6i�li "I RST f#t3if cit to_.,la� .r
r�pg3un F°�C,;. fr�aup;, iygt �ttti 4Juaa'lat� w
�€ :Iri3t1 Y pW'i xis Uil9l opcp ;,q $4 i R o t0 ,
• "' 4 E�i�l't 1l iI it t; ti ii i 21 t ! sib Vii.. ^ i3
• :tii9RY ;ra'r�' �,.. , clic! "3 1R.. s� . pct a
Acltual .t41 oiti,6rl of" s3GU9 4-10) 1 ��R1
a�l'wl:HAW IC,AL ". �`EX t6t�i` 011.1 'd�'1 IQNt ;. � It : o•f• POr'' its I 9. 4 t �� 6'0 . r►�� . ' s� �� s �� :'BRI ,
4VP:N:TiriWilVs;l Bil Eva pp C:a6.fief, a .. 01 'q0 . Ha04othar jo ,Na %c >i•tID...`,�'�
` #:IIRP.R #3iUh • Iiittib D °�? r; 00. >3��:�i!'c00 , ?30i-s0!0%.">sotoojsa' Ea sx.cicl
�E���.I;9M1��lTd�OfT •D.c•�.ta�`s����x•.-����a��,,�.h ���.. •�;��a
•;;I� t'i! : �.tnla4t j
y� p t�q p l r l a Rf, '; r u t f.f. , , t�f6t�WaiWli m f ►�8�y t c t ' ��+'y«";�E» s 4$5A , Ct�1
t •!' w1� yy IM S i- Fi.1S'Y : •' 1 R 8 •! ' Ld R � � � s ' , 1'b �;'� � � � ii C. �. 6H . {► 4 / Wi � . � . li �' '. � F t , t F E a � � 3 '"IT s CJ.i7
F't U3 Rat t s, i 9'.1�IA i7N arse : of ���� gra � � � . 09 ."4" h �'E:a
,at t fl ;, .l iinkl -,Fin -rat � R lr� Drain's ' 0
Wei#�w �'; r3 tat�?t" t ' tl; W+a3�she (Auto
o'h? t 1 f�4rba�e �,�.14o r-I�
KJ,tcJ;en'*-SAnk1 R, t:4asndp Frays ' 0 Ur�.rsaaI1 4 wtr closdtt
aua t or'. afr ,� uh ! -bidet a fl �pth�r � � . 4_; PEE s � �y�,� . �+0
v •sewago Doptal s 4al iso, Ll. t 4) Pit i a?tA R FI"!» t ' fo12
otv( FS
FOR,q.2B4.208 (2/81) `
NO.
OPERATION
DATE
INSPECTOR
NO. �' ~OPERATION
DATE
INSPECTOR
BUILDING
MECHANICAL APPROVALS
1
Sat ack [
/APPROVALS
Sv U$ y 2
33 Ventilation System
2
Ftgs 8 Frms C c
O
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
6 a3 /
�� — J
39 Appl. Clearance
Framing
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Grange Fi,e Wall
42 Commercial Hood
10
Fireplace
P.L.
43 Final
10A
Fireplace
T. 0.
°o ADDITIONAL INF MATION
-r�
-- _ .. ---- _ --.. �,----
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal lath
12A Diywoll ?
--
43 Finish Grade
INSULATION Thick
R
Value
7A Wolls (Botts) 3
12B Ceiling (Botts) C/, to
% AA- L6�
12C Ceiling (Blown)
14 Final
----------PLUX.",BING -APP O AES -
--------- --
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal _ZJ
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final 4-1V
e^el
Tank 2 Pit L. Line
REAR OF PROPERTY LINE j
ELECTRICAL APPROVALS
P/L P/
or 11
\
D _
'
_
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring ,/ J
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final � v
i-_ STREET NAME