1985, 04-25 Permit: 00005110 ResidenceSIGNATURE OF`
O'.VNER OR AGENT DATE
APPLICATION
JOB ADDRESS:
OWNER:
ADDRESS:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: 5T: ZIP:
,
PH: LICENSE*:
'.iZ"
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*: 10ENSUS TR:
INSPECTOR:
PLAT#:
LOT & BLOCK
FINAL
PLAT NAME:
ZONE#: I ZONE
I
FSB
S - 1
S - 2
RSB
MOO
USE OF PERMIT:
JOB ADDRESS:
TRUCTURE
SEO. #:
DATE:
PR OJ 7t:
FEES:
PAID BY:
CA
CK CG NC
COUNTER APP:
PLANS EXAM:
DATE:
P•E:. R M J. T
►.J i, ;:.
to cr~:ipt:ion N DWEl..i... Group Ft -3 Type VN
cilia el feet 000979 Occupancy Load.0000
Description N DWEL.LtJE Group R--3 type VN
S..cluare •t c: et 000932 Occupancy Load 0000
Description N PFT C, A Ft WE Group N-•• 1 Type VN
o•ar• : feclt 000480 Occupancy Load •0000
'criptlon N DECK Croup R-3 Type VN
.;vare feet 000080 Occupancy Load 0000
t Pin ft,a 10,00 Actual. Pin C:hk' $0,00 Var $0.
TutriL
0
INSPECTOR'S COPY
Or -
C
on
t�
1
1 SETBACKS
,--
BUILDING
2 FTGS & FORMS
A
3 STEEL
4 PROGRESS
5 BOND BEAMS
6 ROOF DECK
7 FRAMING
r�
8 INSULATION
9 SPECIAL INSP.
10 ASSEMBLY
11 FIREPLACE
12 EXTERIOR FINISH
13 DRYWALL
14 EXT. GRADING
15 FINAL
Q.
16 GRD. PLBG.
PLUMBING
17 WATER PIPING
18 DWV TEST
19 FIXTURES
20 SEWAGE DISP.
21 SEWER
22 Agit TER HEATER
23 WOGRESS
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.
OCCUP / SPECIAL
53 FIRE PREVENT.
54 OCCUPANCY/TEMP.
55 REQUESTED
56 OCCUPANCY/FINAL
57 OCCUPANCY/OTHER
58 COMPLAINT/ZONE
59MPLAINT/BLDG.
60 - MPLAINT/OTHER
COMMENTS: