1984, 09-04 Permit: 00002102 Wood StoveSIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
JOB ADDRESS:
OWNER:
ADDRESS:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSE.:
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL.:
CENSUS TR:
INSPECTOR:
PLAT.:
LOT & BLOCK
FINAL
PLAT NAME:
ZONE.: (ZONE
FSB
S - 1
S - 2
RSB
MOD
USE OF PERMIT:
JOB ADDRESS:
SED. .:
DATE:
PROD.:
FEES:
PAID BY:
CA
CK '- INC
COUNTER APP:
PLANS EXAM:
DATE:
M E C H A N I C A •L
M I T
riE'triANICAL. TOTr,I_
ct
fee Y Misr. feta de c: Amt $0.00 fee! , $►1J.
0 Range 0 Gaslog 0 Gas w/h 0 fyali.t:l 1.`ue1 01fee: '$10,04)
INSPECTOR'S COPY
Osfo
fra �5)( (DO�'
'BACKS
co
C
r
0
2 FTGS & FORMS
3 STEEL
4 PROGRESS
5 BOND BEAMS
6 ROOF DECK
7 FRAMING
8 INSULATION
9 SPECIAL INSP.
10 ASSEMBLY
11 FIREPLACE
12 EXTERIOR FI1iSH
13 DRYWALL
14 EXT. GRADING
15 FINAL
16 GRD. PLBG.
I
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 AL
3& NTI LATION SYS,
rMECHANICAL
39 PLENUM & DUCT
40 GAS TEST
41 FURNACE
42 DAMPERS
' 43 INLET/OUTLET
44 COMPBUSTION AIR
45 COMPRESSOR
46 APPLIANCE ID 5
47 FIRE DAMPER !!
48 SMOKE DETECTOR
49 HOODS
50 PROGRESS
51 FINAL
f
52 FINAL INSP.
1 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:,t
•
Osfo
fra �5)( (DO�'