39607 (ELEC) ApplicationAPPLICANT NAME L, F, MI
t A' WITNIA, COUNTRY 8SA17 -
ADDRESS
7118520 HWY III
CITY/COMMON ITV/STATE/ZIP
`%,.A QUXNTA CoA 94,223.�aana
JOB SITE ADDRESS/SPACE j r
78520 ' HWY 111
CITY/COMMUNITY/STATE/ZIP !J
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613
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TRACT NAME
LAA OWNER NAME WU('
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CONTRACTOR -FIRM NAME ,
LICNC #
ADDRESS
CITYICOMMUNITY/STATE/ZIP ,
. RHONEp
BLDG. INSPECTOR
FINAL DATE
'ARC/ENG FIRM NAME
LICNC #
'ADDRESS
CITY/COM M UNITYISTATE/ZIP
PLAN N .PLANS
EXAMINERAPPROVE
DATE '
USE OF PERMIT
9'E MP USE OF PERMANENT SERVICE
01,
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APPLIPRMT NPS.
0a022-05.3
DATE
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TOTAL .
FEE'
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CA
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NC
COUNTER B.I.
COUNTER L.U.T.
APPL.IGATIQN FOR ELECTRICAL PERMIT
T H*I S I S A N A P P. L I G A T I O N O N L Y
r
FORM 284.208 (11.81) INSPECTOR
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FORM 284.208 (11.81) INSPECTOR
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. Ej
43
Final
IDA
Fireplace T.O.
OP'N
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)
128 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 Grounding Wire
29B Bonding
-30• Fixtures
31 Service
32 Final..
— STREET NAME