00024921 (RPL);< APPLICANT NAME (L, F, MI)
BLDG.
3
PHONE#
LICNC #
APPLIPRMT # PS DATE
ABM w
1, �41111111
4753
FORM 284.208 (11.81) INSPECTOR
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ADDRESS
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CITYICOMMUNITYISTATEIZIP
PLAN #. .y
PLANS EYAMINERAPPROVE
DATE
USE OF PERMIT
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SSB
RSB
OFC
TOTAL .
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FEE '
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ZONE D #
LOT SZ
END
0050
SIDE
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NC
I COUNTER B.I.
COUNTER L.U.T.
47537
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APPOCATION FOR
STRUCTURAL PERMIT
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9 AN A P
P L I C A T IQN QNLY
! Naturg of
Situ% Comment
Action 'taken « «..w.�.:«.w««w« «. Cane
Use No
OWNER MUST
COMPLY WITH ORD 424.1
(FENCING)
FORM 284.208 (11.81) INSPECTOR
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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 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framino
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. 0
43
Final
10A
Fireplace T.O. 0
OWN
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
12CPFiling (Blown)
14 al
PLUMBING APPROVALS
15 Ground "lumb
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
PSL P/
ELECTRICAL APPROVALS
26 Power Pofe
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME