010634 (ELEC)* APPLICANT NAME (L. F. MI)
:ApbR"s WLfAll
X �r
�8!sgfj
CITY/COMMUNITY/STATE/ZIP'
LA
JOB SITE ADDRESS/SPACE
WAY I Al
UNITY/STATE/ZIP
'PITY/COMM-
fill it
PR CTW�,j SE S
BOK P C
4A I it 4 L
I
TRACT" - -J� - [ L -6T
-oja�au
OD sb"
TRACT NAME
OWNER NAME (L, F, MI)
I - NTA
COUNTRY
CONTRACTOR -FIRM NAME'
ADDRESS
Cln'!COMMUNITY/STATE/ZIP
PHONE
LICNC #
'ARC/ENG' FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE #
LICNC #
USE OF PERMIT
TIEMP Cl r
BIL ZON FSB SSB SSB RSB OFC
cl�
I in I It tud
ZONE ORD 11
ppqlqv�
LOT SZ END SIDE"
findift
DATE
APPU RMT # PS 4
.1 P 01063
TOTAL
FEE
INPECIUKZo COPT
`01'0634
-10 .-VOR ELIMIRICAL P6914"t-T.-I
APPOCAT
L 1 C A T 1 0 N 0 N L
I
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
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.
43
Final
loA
fireplace T. 0.
°o
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 (Botts)
12C Ceiling (Blown)
14 Final
- €LWMG1NC r r-1=RO GALS
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
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME