1994, 08-29 Permit: 94000831 ExtensionREQUEST FOR (6 MONTII) EXTENSION OF PERMIT
THE 7 -STEP PROCESS
WE NEED TO FlU OUT THIS FORM UPON RECEIPT OF A REQUEST FOR AN EXTENSION.
STEP 1: -��/-ZVA; v
DATE REQUEST RECEIVED:
REQUEST RECEIVED BY:i���2�� C �'�i�,�.,-• ,
PROJECT NO:—(i S
ADDRESS: / V// 7 ?
PERMIT USE:
REASON FOR "bUEST: /I� �'22� /( J -
STEP 2: (IF INSPECTOR RECEIVED DIRECTLY FROM APFUCANT- SKIP TO STEP 3)
FORWARDED TO: DATE:
Codes Administrator
STEP 3:
GIVEN FOR CONSIDERATION TO: r j� DATE: 17– `,7
Inspector
STEP 4:
ENTERED "00000" APPROVED EXTENSION IN HANDHELD ON:
IF NOT APPROVED, REASON FOR DENIAL:
STEP 5:
RETURNED FOR REVIEW TO: DATE:
Codes Administrator
STEP 6:
SENT FOR LETTER TO: DATE:
Office Assistant
STEP 7:
CONFIRMATION LETTER SENT ON:
EXPIRATION DATE:
ORIGINAL: NEW:
WHEN STEPS 1-7 ARE COMPLETE,
THIS FORM & A COPY OF THE CONFIRMATION LETTER
NEEDS TO PLACED IN THE ADDRESS FILE.