00006429 (BLCK)4i E i -. 1+�'p
St+'7W�4 m 6
oR
triwow 'w'P CIO 922760000
DRESS/SPACE El-Sw1 14ourPt :OR
VP CA 922,760000
.. Ml 1
3.6 V
V o
4
�"N •41 V
10
s
j{I�Tj1�,/ .ft
LOT
97150 1/2 99TAW00
TOTAL
FEE
1p y
SB
�yLi w
.V5AJCi11 �i j QW:. t./4
„ t"J(L. F„Ml) CORP
CONTRACTOR -FIRM NAME',
ADDRESS•
CITV.ICOMMUNITY/STATE2IP
I 'PHONE 0 -
LICNC 0
ARWENO FIRM NAME
J ';ADDRESS -
CITY/C0MMUNITY/STATE2IP _
'PHONE O
LLIICNC N
itgTAIN Hro 4ppL
L
'. .O,o#4g
FSB
#pY
Rlopo
110
top. .
ZONE ORD 0
LOT SZ
'. END
"VW6429i o/2,9hi 001874
2nX4 1:/2'- RETAX MIND iota s0
:6
97150 1/2 99TAW00
TOTAL
FEE
.
001874
P IL R M T T ,FOR .275X4 1/2 ReTAIN1N0
TOTAL 09RH "i' COST 18 $30.50
275X4 -112 PETA114:14
$38,50,
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSFVGTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
-�LIV
02J33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Duds
2A
Slab Grade
35
Furnace Compaq,
3
Steel
36
Inlets b Outlets
4
Grout .Blocks
37
Combustion Air
5
Bond .Beams
38
Compressor
6
Roof Deck '
39
Appl. Clearance
7
Framing
40
Fire Damper
B
Vents
41
Smoke Detection Device
9
Gavage Fire Wall
42
Commercial Hood
10
Fireplace P.L.
43
Final
10A
Fireplace T.O.
No
__ _.
ADDITIONAL INFORMATION
-
'
-._ .� .. _. ._ ,_ ._. ._
SEWAGE SYSTEM SIZE & LOCATION
1'1 Exterior Lath
12 Internal Lath
12A Drywall
13 ' Fini'sh 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
2.1 Water Heater
22 Water Softener
23 Water Service
24 Gas. Test
25
Final
Tank Pit L. Line
REAR OF PROPERTY UNE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
81 Service
32 Final
STREET NAME
APPLICANT NAME (L, F. MI)
W►1��Wl4�tbl�R D
4"A 922140000
A"IfRESS/SPACE ®��N
�•R�y
C� f��
l� /�ppV y�
.GIiT�2gi6M
��31
fto
111_10
b
1,60 1,
T� T 496
1 LOT
�8
I SB
WCT mlo ow 1/4
ARM (L. F. MI) coltp
CONTRACTOR -FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE $i
LICNC N
ARC/ENG FIRM NAME
..ADDRESS
. CITY/COMMUNITY/STATEIZI P
:PHONE M
LICNC M
t �y +
ITO�1/2- RL'nTAIN*NG
p/1.
FSB
^V7fLlLptg�/�
ZONE ORD q
LOUT. SZ
END'
v1an64" In 1p 7/9 001873
975X4 1/2 RETAINING
TOTAL'
FEE
•
�� p
_�„.,_�_�.�____--,��______-._�__ �._.__.^Y__.-_---•- INbYt(:IVK'S C.UF'T__� ��__.._.r____
0,0187
APPLICATION FOR 2704 1/2- WAIVING
I H I 19 AN APPLICAT10H 0041E
FORM -284.206 (MI'
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34 .Plenums
3 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets d Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Root 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.
E]
43
Final
10A
Fireplace T.O.
EJ
FI
----------------------------------
ADDITIONAL INFORMATION
'
-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal lath
1'2A Drywall
13 Finish Grade
INSULATION 'Thick R
Value
7A, Walls (Batts)
128 Ceiling (Botts)
1'2C 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
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
296 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME