1995, 07-20 Permit: 93004926 ExtentionTIIIS'FORM IS FOR DEPARTMENT USE ONLY
REQUEST FOR (6 MONTH) EXTENSION OF PERMIT
TIIE 5 -STEP PROCESS
WE NEED TO FILL OUT THIS FORM UPON RECEIPT OF A REQUEST FOR AN EXTENSION.
STEP 1:
DATE REQUEST RECEIVED:
REQUESTED BY:
ADDRESS:
PROJECT NO:
PERMIT USE:
INSPECTOR DISTRICT:
HONE lt�lO`7 7 2
REASON FOR REQUEST:Ci, e s
STEP 2: (IF INSPECTOR RECEIVED DIRECTLY FROMr5LIVNT-SKIP TO STEP 3)
FORWARDED TO: DATE: -7/20/95--
Codes Administrator
STEP 3:
GIVEN FOR CONSIDERATION TO: Lk)
DATE: 7_ d —�
Inspector
ENTERED "00000" APPROVED EXTENSION IN HANDHELD ON: 7- 2 U -
IF NOT APPROVED, REASON FOR DENIAL:
STEP 4:
RETURNED FOR REVIEW TO:
RJ
Codes Administrator
DATE:
STEP 5:
SENT FOR LETTER TO:
Office Assistant
CONFIRMATION LETTER SENT ON :
EXPIRATION DATE:
ORIGINAL:
DATE:
NEW:
WHEN STEPS 1-5 ARE COMPLETE,
THIS FORM & A COPY OF THE CONFIRMATION LETTER
NEEDS TO BEBE PLACED IN THE ADDRESS FILE.
127/44
ACTION: R SCREEN: SITX USERID: M5TI
a- -*.
BUILDING PERMIT SYSTEM SITE CROSS REFERENCE
JURISDICTION= 11
STREET= RAILROAD DIRECTION= E
STREET# TYPE APT# LOC PROJECT PERMIT TYPES S DATE
01- 011312
02- 011312
03- 011316
04- 011324
AVE
OWNER:
USE:
AVE
OWNER:
USE:
AVE
OWNER:
USE:
AVE
OWNER:
USE:
SPO 95000383
LEBRET, JIM
GAS LOG & PIPING
ME A 950124
PCL #: 45092.1305
SPO 93004926 BU PL ME A 930621
LEBRET, JIM PCL #: 45092.1305
RESIDENCE - ELECTRIC FA / CHANGE TO GAS HEAT
SPO 93004920 BU PL ME A 930621
GREER CONSTRUCTION PCL #: 45092.1306
RESIDENCE - NATURAL GAS
SPO 94001005 ME A 940209
CURTIS, TONY PCL #: 45092.1307
GAS FURNACE, WATER HEATER, & PIPING