1985, 11-06 Permit: 00008559 ResidenceSIGNATURE 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 BC BLOCK
FINAL
PLAT NAME:
ZONE*:
ZONE
FSB
S - 1
S - 2
ESE
MOD
USE OF PERMIT:
JOB ADDRESS:
Codec
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�'L1:IL.1?TNC;
c
0 of Floors 0
"'',L'r1ARY SSTRUCT
oe sc:: N L)wI:::LL
.-Ft 996
.UNDARY S'TRU
N DWELL
`: 'I f t 948
t't:::ac^ : N PRI 0
484
8TR(JC:TURAt...
Fee
Surcharge
u r• r` -
P
1 4' of LtPcr1
U R E:
Groi p
Occupancy L
CTURES:
UB Gr c; up
Occupancy t..
AR W ' Group
Occupancy
SEG. *:
DATE:
PROD*:
FEES:
PAID BY:
CA
CK
CG
NC
COUNTER APP:
PLANS EXAM:
DATE:
OOM;y- 000 4l of Rooms 000
R_..3 Ty e: VN
35..50 Rate 35.50
R7 Type; VN
oacl Rate 6,50
: M--1 Type: VN
oCv6
TOTAL L FEE
TOTAL.. FEE
TOTAL.. FEE
Perm -it Fee
i1.`.`i0
15.00
$306,00
:306.00
0
INSPECTOR'S COPY
•
f
C
!
C
0
1 SET BACKS
BUILDING PLUMBING
2 FTGS & FORMS
t'
3 STEEL
4 PROGRESS
5 BOND BEAMS
6 ROOF DECK
I1_
7 FRAMING
8 INSULATION
9 SPECIAL INSP.
10 ASSEMBLY
11 FIREPLACE
12 EXTERIOR FINISH
13 DRYWALL
14 EXT. GRADING
A
A-
15 FINAL
16 GRD. PLBG.
17 WATER PIPING
18 DWV TEST
19 FIXTURES
20 SEWAGE DISP.
21 SEWER
22 TER HEATER
R
23 OGRESS
24 WATER SERVICE
25 ROOF DRAINS
26 FINAL
38 VENTILATION 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.
IOCCUP / SPECIAL
53 FIRE PREVENT.
54 OCCUPANCY/TEMP.
55 REQUESTED
56 OCCUPANCY/FINAL
57 OCCUPANCY/OTHER
58 AfaMPLAINTIZONE
59 MPLAINT/BLDG.
60 COMPLAINT/OTHER
COMMENTS: