27430 (ELEC)APPLICANT NAME (L, F, MI)
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CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITYICOM MUN ITYISTATEIZIP
PHONE# -BLDG.
INSPECTOR
FINALDATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITYICOMMUN ITYISTATEIZIP
PLAN #
PLANS EXAMINER
APPROVE DATE '
`fr.WmtONS,T SERVICE
16 a
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TOTAL .
FEE
CA I. CK NC I COUNTER B.I. - COUNTER L.U.T.
APPLICATION FOR -ELECTRICALPF,RMIT 1 274301
THx9 `19 AN AFP'L.:ICATxON 0NL.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
Final
10A
Fireplace T.O. ❑
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 (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
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 Grounclin Wire-
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME