1984, 10-26 Permit: 00003043 Repair Fire DamageSIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS:
OWNER:
ADDRESS:
CITY: ST: ZIP:
9'.
APPLICANT:
CONTRACTOR:
Prr` ) -RUC r1."'
ADDRESS:
CITY: ST: ZIP:
0000
PN: LICENSES:
1 r,.
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCELS:
CENSUS TR:
INSPECTOR:
PLATS:
LOT B[ BLOCK
FINAL
PLAT NAME:
ZONES:
ZONE
FSB
S - 1
S - 2
ROB
MOD
USE OF PERMIT:
JOB ADDRESS:
Eq.
SEQ. S:
DATE:
PROJ*:
FEES:
4 1 t+ 4.4 1 �+ ..
PAID BY:
CA
CK 3CG
NC
COUNTER
APP:
:"
+A`y.An.
fi : i)
PLANS EXAM:
DATEN. A
... T R U c i U R l:.
,; E R M 1 T
r:,UL�URE
Description R DWELL. Group R-3 Type VN
Gquare feet 012000 Occupancy toad 0000
L:{est Pin Chk $0.00 Actual Pin Cht< $0.00 Var
Le
T0fAL 68,0,
$0100
0
INSPECTOR'S COPY
e
BACKS
BUILDING
2 FTGS & FORMS
3 STEEL
4 PROGRESS
5 BOND BEAMS
6 ROOF DECK
7 FRAMING
4
8 INSULATION
9 SPECIAL INSP..
1.0 ASSEMBLY
11 FIREPLACE
12 EXTERIOR FINISH
13 DRYWALL
14 EXT. GRADING
15 FINAL
4
16 GRD. PLBG.
PLUMBING
17 WATER PIPING
18 DWV TEST
19 FIXTURES
20 SEWAGE DISP.
21 SEWER
22 WATER HEATER
23 PROGRESS
24 WATER SERVICE
25 ROOF DRAINS
26 giNAL•
38 NI PE NTILATION SYS.
MECHANICAL
39 PLENUM & DUCT
40 GAS TEST
41 FURNACE
42 DAMPERS
43 INLET/OUTLET
44 COMPBUSTION AIR
45 COMPRESSOR
46 APPLIANCE
•
47 FIRE DAMPER
48 SMOKE DETECTOR
49 HOODS
50 PROGRESS
51 FINAL
52 FINAL INSP.
OCCUP / SPECIAL
53 FIRE PREVENT.
54 OCCUPANCY/TEMP.
55 REQUESTED
56 OCCUPANCY/FINAL
57 OCCUPANCY/OTHER
58 COMPLAINT/ZONE
59 COMPLAINT/BLDG.
60 COMPLAINT/OTHER
COMMENTS:
e