1984, 08-14 Permit: 00001760 MHSEO. S:
DATE:
PRODS:
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS:
'2(iL
OWNER:
ADDRE55:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSES:
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCELS:
CENSUS TR:
INSPECTOR:
PLAT*:
LOT & BLOCK
FINAL
PLAT NAME:
Pr)VANE"' ADD
ZONES:
ZONE
FSB
S-1
S-2
RSB
MOD
USE OF PERMIT:
JOB ADDRESS:
0 13 T. L. 1.
FEES:
PAID BY:
CA
CK ISG NC
COUNTER APP:
PLANS EXAM:
DATE:
rl u iYi ir. P E. R 1'1 i t
rl/H PLACEMENT
Sit e Zip —00000
Number 1 W 14 L. 63 H 10
-14-
TOTAL. F C. ►:c:.:..
INSPECTOR'S COPY
°
1 *BACKS
'
BUILDING
2 FTGO & FORMS
3 STEEL
4 PROGRESS
5 BOND BEAMS
6 ROOF DECK
7 FRAMING
8 INSULATION
9 SPEC|AL|0SP
10 ASSEMBLY
11 FIREPLACE
12 EXTERIOR FINISH
13 DRYWALL
14 EXT. GRADING
15 F|NAL
16 GRD. GnD.PL8G.
-o
r
C
cc
�
�
C)
17 WATER PIPING
18 DVVV TEST
19 FIXTURES
20 SEVVAGED|SP�
21 SEWER
22 WATER HEATER
23 PROGRESS
24 WATER SERVICE
25 ROOF DRAINS
zo
3O ��TILATl0NSYS.
MECHANICAL
39 PLENUM & DUCT
40 GAS TEST
41 FURNACE
42 DAMPERS
43 INLET/OUTLET
44 COMPBUST|ONA|R
45 COMPRESSOR
46 APPLIANCE
47 FIRE DAMPER
48 SMOKE DETECTOR
49 HOODS
50 PROGRESS
51 FINAL
52 F|NAL|NSP.
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: