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FORM 284208 (1181) INSPECTOR
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CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITY/COM M U N ITY /STATE/Z I P
PHONE#
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC #
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PLAN #
PLANS EXAMINER
APPROVE DATE
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FORM 284208 (1181) INSPECTOR
iiVgMj18195 Ate° a5l,jC$�Ed2 7 I
4X50
i
R.ETAININO
WALL.1 270
1�
P L I
C A T x 0
N 0 N L Y
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FORM 284208 (1181) INSPECTOR
iiVgMj18195 Ate° a5l,jC$�Ed2 7 I
4X50
i
R.ETAININO
WALL.1 270
1 5- A N A P
P L I
C A T x 0
N 0 N L Y
TOTAL .
FEE
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CA
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NC
I COUNTER B.I.
COUNTER L.U.T.
AFPLIC A110N FOR
4X50
i
R.ETAININO
WALL.1 270
1 5- A N A P
P L I
C A T x 0
N 0 N L Y
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
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43 1
Final
10A
Fireplace T.O. 0
OP'N I
NO.
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 (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 Woter.Heafer ,".'
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P)
26 Power Pole
27 Conduit
28 Service Entrance
,29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
r' STREET NAME