008063 (BLCK)APPLICANT NAME (L, F. MI)
ADDRESS
CI Fv 'COMMUNITVISTATERIP -
JOB SITE ADORES&SPACE
GITvCOISM ITY/STATE:ZIP
BOK
PAG
PRC
C
TWN
PING
SE
S
TRACE
LOT
MOD
SB
TRACT NAME
OWNER NAME (L, F, MI)
CONTRACTOR -FIRM NAME „
ADDRESS
CITY/COMM UNITY/STATE/ZIP
PHONE N
LICNC N
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N
LICNC N
USE OF PERMIT
BL
ZON
FSB
SSB
SSB
RSB
OFC
ZONE ORD N
LOT SZ
END
SIDE
APPL/PRMT N r PS OAT E"•� .r '-� _�
Ay S
1
_ TOTAL f
FEE
lNZ)f'tL I UK'J UU}'Y
• r
rj r F
J U iJ V
FORM 2B4-208 (2/81)
NO,
OPERATION
DATE
INSPECTOR
NO
OPERATION DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2.
Ftgs & Frms
34
Plenums & 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
Garage Fire Wall
42
Commercial Hood
10
Fireplace P.L. G
43
Final
10A
Fireplace T O.
NO ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
Tank "11 i_ Line
REAR OF PROPERTY LINE
11
Exterior Lath
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
t
23
Water Service
24
Gas Test
25
Final
_
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
CTPrrT WAMF
'
A
1
H
ca
c►1
It
00 N
e4
00 O
N Pr4