HomeMy WebLinkAboutPermit Electrical 1989-04-12Job l-ocation:2
Tae Int ilAeaeaaors MaP #
*tbdioiaion:
Otmer:
Phone:Address:>a
zip:ci
fio--u.uor)"22ou.a<-'7fu'V7-z/ ffe:raA-'- ,fu
sr;7zF>
a->
Date of /^g=
Lddition
RenoCeL
aja
RceeiPt lt / 1--,4 D..RESIDENTIAL
- APPLICAL .U/PERMIT
SP'IINGFIEI..D
225 North |th Street
Springfield, 1negon 97477
Building Diuisio.n
7 26-37 s3
a/ftrl
/% 74
<-
Date:
r
General
Plumb
naca
E aE
c lanIilecEt:ervS
Sanitary saset capped at property lire
Septic tork y.otped cnd filled rtith gnatel
Final - I{hen abcte itens ate canpleted
and uhen ilq,plition ia comPlete or strac'
tuye noved attd, prettriaea cleaneC up.
It io tha reepattaibility of ttr permtt ho-tt-er to aee that atl inapec-ttona are nade at the Pro?er tine, that
jr*,-*"-it""Lli,,
"rra ttit ttt" pir*tt card ie Located at.th.e. fryfl of the--property'
iaiitii"g-I;;i;lr; "pji"-ra ptan,ahall renw.in on tle Building sitc at aLL ttnes'
pRocgDURE FOn INS4E1IION RIQIEEL:GALL726-3769 (recotdet') etate yout'city ceeigrtated iob nui:ben, iob acfue
requeeted and uhen goiffi""da-i1" i"rpo"tion, contractors oi ailere ncne and phone rutmben' ReEtesto
t*.iLL be nade the ,rr"-ii, niqrr"it"-i"de afiet ?:00 otr viLL be nade the nex't wrking day'
Iour City Deaigr,ated Job Nwnber Ia:,
acch addrees is neaCabie
tae, type of insPec'.icn
recett;ed befcre 7:00 an
Blocking otd Set-uP
Plumbing connections '- aa)er utd uater
Electri.cal Cotnection - Blocking, set-up
ii otttrnbinq connectione nust be appror;ed
befire requZating eL ec lrLcal inspec lio:t
Acceasorl tuilditq
forna.
UNDERSLAB PLUMBING. ELEC'TRICAL &
WCxLntCefi: To be nsde before anY
6G6rtered.
POOTINC S FOUNDATICY To be nnde
;Fer *;ncfea are escaoated and
forne ate erected, but Prior to
Wur'itlg ccncreta.
UNDERCROUND PLUMBING? SgtqR, rt.l\E].
DRAI\IAGE: To be nPde PrLot' to JLL-Tfffrnchae.
U|pERFIOOR PLUTwING 4 MEC1!-NIC,AL:
^To be nnd.e prior to inotaLlatlon oI
floor ineulation or decking.
POST AND BEAM: ?o be nnde Prior to
fifrtGffiof floor ineulation or
deekittg.
R1ucH PLU\BINC. EITECTRTQAL E MECH;
ANICAL: No tnrk is bo be coverect
.GiTTtheee inspections haue been
nade and approved..
FIPEPLACE:
,rrat;fr;G
tion.
FRAllItlC: ttust be requeated after
6ffit of rough plrtrbing' electri-
a.-L E nechanical. ALL roofing
braciltg A chinmege, etc, nwst be
: conpleted. No uork ie to be con-
' cealed until thio inspeotion laa
'been npde anC approued.
SITE INSPECTION:*r"oatio",T"t
FIIIAL PLUMBINC
FINAL MECIIANICAL
?INAL ELEC"TRICAL
Prtor to Pkcirgatd before fnaning
?o be nude aftet
prior to aet up of
INSULATTON /VAPOR BAIIRIER lttsl|c?r0\:
To be nade after aLL insulaticn ara
taauired uapor ban'iene @e in pl'ace
bui before ory \ath, gYPoun board, ot
unLL couering is applied, and before
ory in1utation is concealed.
DRYHALL INSPECAf7N: rc be tmde
;fter aflAyraTta -in place,
but pnior to anY taPtng.
MASONRI: Steel location, bond
iiffijgrouttng ot' oerticala in
accotdotce ti.th U,B.C. Section
24L5.
\\OODSTOYE: After inaballation i'e
@ttpTAA.
CURB E APPRCACIT APP!: Aftet forns
d-i"ecterl t* P'rtor to Pounirrg
concrete.
sIDEhtALX & DRfVEWAI: Por aLL con-
cr;te pa,rfrA;F- stPeet right-
of-uA-, to be made after aLL etca-
oating canPlete E fond wrk & sub'
base nnterial in Place.
?ENCE: hthen conPlete -' Provide
@G or nottable sectione through
P.U,E,
g
I
V
w
w
facing
inepec-
Pinal - Aftar
etc. a"e conP
pcrchee, akirting, decks,
leted.
aLLprojebtconditiona,suchaeblr-instal^Lationofst'reet.!11"-1.:"oryletionofthe
required Landaccpi,ng,'Lti., irt be aatisfiZd-LifZi""-li, BUILDIN| PIinL can be requested'
FrNAL DUrLI)rNc: rhe Final Building rnspection mtet be requeoted alter the Final Plunbing
E L ;; ;1 ";;;1';' oi u
"
ot-ri, iii ti" p
"
c tio no'7ta" o b e en nade atd - apptou edE
^AI,L MANIICLES AND CLDANOUTS MI)ST BE ACCESSIBLN, AD'IUSTIIENT TO BE I'L4DE A? NO COST TO CIIY Pege I of 2
TI N oi,l
tr
tr
soLAR AC ^Ess REQ.-JOB NO.
L-CO G+
IAT TYPE
_ Interior
Corner
Panhandle
-
,rl-dn-oo"
tpt Faces -Lot Sq. Etg'
I of Lot Cooerage_
ll of Storiee
Iotal Height
TopograPhY
P Ilouee Aceesg
tote
-- Feea --
rTEM VaLue Building Volue & Permit
This permit ia granted. on the express co-ttd,ition tltat the said constt'ttction
shall, in atl reapects'-';.;;,i;;i;- ti-e. ordinance edopted' .I,y the citv of
Soninofield, includi,nq'til u"i"g Crdinance, regulaL'i-rtg the ccnstrucLicn .
ila "rL of butldingt, and may be- euapended or reuokec at ';tt!J t:'me ul)on DLc-
lation oY ony prculsione of eaid Ordinances'
TOTAL VALUE
1.5 c
Building Perwit
d3 Date Pdtd
State Reeeipt fl:
?otal Clnrgea 5 Sigted
NO.CHARGE Plumbing Permit
No Deraon alall conetruct, inetall, alter or clattge -cnA ned.cr ezisting';i,,i;b;:;'r; i;iiZ.s, ,iit^ in uhoie o.r. in part, inlees y"h -l?\o"" is the
'tLji1-plonn""o* o1"o;L1;e pir t"t"s Lic-ene'e, eecept that.a pe:son nav do
pt\fi;rg uork to iropn"ty ,1ntch ia ouned, Leased ;r operaLed by the appli-
cant.
Etbtwes 7 Q
Resilentia.L (1 bath)
Sani Seuer
--
Ptwbing Pernit -?
State <z>Uz/*
Electricol Permit
tthet,e s!;ate LaD requiree tlut the electrical uork be done by -an Eleetrical
Cirtnoltir, the el)ctrilal iorti-on of th.is -permit ehall rat be oaliC wttil
the Label has been aigned by the Electrical Contractor'
Eshanet ltoo,7
rnn
a=D
-z-
-?
t
L
Mechonicql Permit
State
Nets/Efietd Circui'ts
Serrtice
CIIARCE
o-2
Vent F@t
llcodstote
Pemrtt fsauanca
Mechanical Perwtt
.- EIICROACI]MEN? --
Sectritv Depoait
Storage
lh,intenance
Pormit
Curbant
!e,nce
Electrical Ia.bel
Mobile llone
2R
)€-
I ttAVE CAREFIJLLy EXAI,IINED the conpleted application fo^r permit, and do
ilni:rAi certify that aLL info-rnntion hereoti is true and cowect, crtl r
Turti"er certiiy that any ard aLL tnt'k pe^rfotned e.lnll be do:te in accor-
'dance ,,tith thZ'Ordinanc-ee of the City of Springfield,
'td
th-e la;e of tho
r StaLe of Oregon pertaining to the lirik Ceecribcd herein, a,1d lhot N0 OCCU-
pANCy uiLL be nnCe of ang" etructure uitltout permiaaion of the Building DL'
oieion. I furthen cLntiiil that only contrac'tore ad ezplcgees uho dre in
canpliance uiLh lRS 701.055 ui-LL be uaed on thie proiect
?otal
roT,Ar nvouvr utE: I /77 Signed
BedrOOtns:
s. D. c.
Zrrnntao FTlltS
7
Sida'talk
..RESIDENTIAL..
,'1fi'ERIII:I'
,;,,,':,::tll
SPHIT{GFIELD-
APPLICAT.
225 North SLh Street
Springfield, 1regon 97477
Butlding Diuision
7 26-37 53
Dat?.
()il r(1i p rel-
General
2,?DJob Locaticn:
'l'a.t, Lot llDAII aoo/Aecessorc Map #
Subdiuision:
Otmer:
rrrorn, (2/) -5Addret;s:
Descrrbe h'ot"l<:
1- / t-E?Date of Applicatian.
NeD
Vo u,45w
ltl-Additicn
iicmoCeL
Cont rac Lor
i'1r.rmbi.ng
IL 1
l.lechan ical
Electt:ici:tn
D ec tr
Suoerv isi
It ie the reeponaibilitg of the permit holder to see thctt; all incyecl:ions ilre ndda at lhe p"oper tine, that ecch adiress is readabie
fron the street, and that the penrrit catd is Loeated at the front of the property.*Buil-ding Dioisiox approxed pl,tn,shc.Ll remain on tlp Building Si'"e itt aLL l..ines.
PI?)1EDUPE FOR INSPEC?I!L!2Q!E!!:CALL726-3769(recorder) state yout,City Jesi.gntted job nunber, iob aCitess, type of inspecliol
eadyfot,inspection,Contrac!;ct,si,.a,nn,"",n,,e.cndphonenrntbct,.-Eeque::;sreceit;-ec!befcre7:00o:tt'iLL be nade the sone dcy, "equests nade aftat, T:00 on uiLL be nade l:!rc nctt aorki.ng daii
Iout, City DesiEnte,l Job Nunber fs 910ru:-r
Ilonti no,.] Taananti tuo
S-LTE INSPECTION:
eacaudnon, but
To be made after
ptior tc set. up of
r N s t lr,ATroN / vAPoR 0.4 R R t n R L |].;Pi!'.t ro N
forms.
ryDULSLAB PLUWINq, FLECIRf,CAL I
?o be made after al.L insul.i.ticn a::d
requirerl uapor barrier:; a.re in place
but before any LaLh, gllpt;Lon boatC ot'
tnLL couering is applie.d, arul before
ay insulaLion is cottcealeri.MECHIIIICAL: Io be nwde befot,e any
wrk is corared.
FOOTING & EOUNDATICN: To be naCe DRYWALL INSPECII1N: Tc be made;F;;n-fiwitTis in place,
but prior to cny taping.
MAS1NRI: Steel Location, bond
6ifrilgroutinly or oert:iecl.s in
accordance btith U.B.C, Section
241 5.
VOODSTOVE: After butt,zlktLion is
cctnpLeted.
afr;Fni;AT;s ate eacauated anrl
farns are erected, but prior to
pouring ccncrete.
UNDXRGROU!]D PLUMBING. S|WR. H,1TER,
DRAIIAGE: To be nade prior to ftl-
T@-Tidnchee.
i-] uuoonpLooR pLu.iBrNG & MECHANTcAL:ilof
floor insulation or decktng.
POST AND BEAM:To be made prior to CURR & APPRCACI| AI|iON:
.r.;-;;;A t;Z-6u t p,;;;
eoncneLe.
SID!;'IAT,K,1 DRIIIEIIAY :
After fomnsto pouringinstillaiian-of floot, insulation or
decking,
RO{.ICII PLUIIBIIIG, ELECTNICAL & I|ECH-
ANICAL: No r,tork is to be aoxered
Gf,lT-these i.nspections haue been
made aruJ approoed.,
FII?EPLACE: Prior to placirq facittgncterials anrl before frani.ng inapn.-
tion.
FRA\IING: ltust be requested after
approual of rough plwnbing, electri-cal & nechani.cdl, ALI roofirq
braeing 6 ehinmeye, etc. nuat be
cornpleted. lto uork is !;o be con-
eecled until this inepection has
been made anC approoed.
For aLL ecn-
crete parina aithin stneet rilJht-
of-uny, to be maCe after a1.1. erca-
oatinq conplete & fona unz'k & cub-
base rnaterial in place.
1ENCE: h4ten conpl,:te -- Proui.Ce
gd;;; or nooable secLions t.tvough
P. U. E.
FTilAL PLUMBIIIC
FINAL MECHANICAL
FINAL ELECTRICAL
ALL project conditiotts, sualt us t;he .!.nstallation of s!;reet. trees, ao:qtleiion_of the
required. LanC.secping, cte,, mtsL be satisfied before the BUILDINC FINAL can be tequested.
FINAL BUf1,DINC: The Final Buildiry fnepct:tiotr mtst ba requested cfter thc FinaL PlwnbiruS
Electrical, and Mecharical lrts[,ecl;lons ltaua been nade artd approoeC.
tr
*At,t, t4ANItCr,E{; ANn CLT|ANOUTS Mtt!:T Bti AC(.-ni;i.rryt,t::, AD,rrt::T!'tEllT TO BE l.!.4D8 l'l lJ) (!sr T0 cITy
t--t
()R
Sanilat'y saser cap\'^f, tt propcrt'ri Line
Septic tank plirped and frlled uith gra:sel
Final - kthen abcue itens are cctnpleted
a*d uhen Cenclition is conplete on stnic-
tuye norteC anL premises cleaneC up.
Blocking antl Set-up
Pl,unbini1 conneciions -- saier and uater
ELec trt'.acl Ccnnec',;iott - Bloakittg' set-up
and plunbi.rLJT coruiections rntst be apprcu'ed
beforc requesiltg el.eclrtcal inspecliot:
A c c e s c o r :i Bui L,l.:-ng
Fitt.t/. - Af te r ;ct',:hes, sI:..rting, deck"s,
etc. are c.anple!.ed.
Pa,..? 1 of 2
L-CO CSOLAR ACCESS REQ.-JOB NO.
Lst:
[,ot Faces -
Zone
BeCrooms
Sourees
t
(:(t Aacess|,. t,Ilouse
Range
Lacer-i
th
Lot so. Ftq.
% cf Lct Ccuetaqe
I of Stortes
LOT TYPE
_ fnterior
Corner
TotaL lleight
TopographY
Panhandle
CuL-de-sac
.{VaLueITEM
tbin
il
TOTAL VAT,UE
CLt(:S.D.C. 1.5 s
It ee
Date Paid
Signed
Building Volue & Permit
l'ltis pemrit is granted on tlte elpreas cond-i.tion tlnt the, saidr-constrttction
stnll, -trt atl respects'- confotnt lLo the Ordinance adop.ted biy the C:ty 2f
silr,lrg]tnta, incllwling' til 2onil,g Crdinanc-e' regulating the ccnstmtcticn
anxl tt:;e oJ. bu.Lldings,'rri,a- r.y be" suspen4erl or r-euokec at cna time upon u'Lc-
7.at'ion oJ: any pt'cttit:'Lorts of said ordinctnces'
Building Pet'nrit
Total ('lnt'ges
State
CHARGTNO
Firtutes
Residential (1 lnth)
SeuerSani
0
I
I
Plumbing Permit
No Dercott s?trtZl constnct, instal!' alter or clnnge anY ne,-c? existing'ii;rZ'ii,s'.i,2"itiiao
"yut;n in thoie or. in pa,t, unless s.uch pe,son is the
iljot p"o"""""on o7" n ,rll,:rl ptr a""'s Lic-ens'e' eccept that a P?"u?" nay do
priritli,g rsork to p*opir:ty,intclt ls oumed, Leased o, opet'ated by the appli-
cctnt.
Pl.atnbing Permit
State Surchange
Nau/Ectend Circuits
Setruice
Electricol Permit
Were State L,au t,equ.il,es t.hat bhe electy,ical uork be done by an Electt,ical
Conbracto", the electtical portion of this _penrnit slull not be valiC until
the l.abel lns been signed by bhe ElectricaL Contl'acto?'
L Permit
State
Total
CIIARCENCITlM
ETUIS
Erharct HooC
Vent Fan
llcodstote
Mecharnicol Permit
Pentrit fssuance
Mecharric:tL Pernri L
State
-- t:NCR)ACttl,![N',t' - -
Sea,tri
Permit
Cutbcut
Sidaoalk
L
Mobile llone
t il:
Pkoz Eruninel uaLe
I I|.4VE CAREFULLy LXAMINED the conpleted application fo-t'pennit' and do
i"i:iti ier,tify that aLL information hereoi^ is true and cornect, an"C I
yurtk'er, .ln"ti"fU that any a,d aLL uork perforned s?nLL be done i.n aeeor-
iir"i- *tn thL" ordinm""es of the City of bp*ingfield, .and the Laas of the
sittte of 1t,egon pertaining to Lhe aoik Cesc-r,ibcd herein, end tlnt No occu-
pl.NCt aill be nade of anry" strucito.e uithout permission of the Building DL-
uision. I further cert'if;i ttnt otly con-tractors and enpLcyees Dho are Ln-conpl't-ance "rith ,:ns ?01.-05{, oiLL be used on this project
TotaL
SilltttL
,IOTAL AIIOUTIT T)LIIi: */5,75
*
*
..RESIDENTIAL
APPLICAi ,)N/PERI4IT
225 Nov,th |th Street
Springfield, Oregon 97477
Building Diuision
7 26-37 53
aa
SPFINGFTEIJ'
"rob Locatictt:
Tox Lot llAssessora l'!ap #
Subdiuiston:
Otmer:
se Phone:-s')gvAddtess:
o47Ci
/l/ e u) DescrLbe' h'ork:
SEgvraE slsu B-Pn^-e 1
v
Val-ue
NeD
TI g7Date of App licaticn
Additicn
RemoCeL
l'lobile Honc
rS
/4b./ F //6-f/B
Receipt #
bara
Date
t
General
P lurnb Lng
1l
Elect.ricit
S uperv is i Elec I r (' lil rr
Page 1 of 2
It ie the responsibility o! the permit holder to see that aLL inapections ave nade at the prope? tine' that each address is v'eadable
fnon the street, anC that the permtt cat'd is Located at the ft'ont of the ptopet'ty.'t\uilding Nuicion approu^etl plan shcll remain on the Building Stte at aLL tines.
PneCilUpE F1R fNSpECfI Itt REQUEST:CALL726-3769 (reeorde?) stdte your City Cesigrated iob nwtber, job aCdress, type-of inspec:ioi
uadyfot,inspection,co,1tr,actorscy,a,lners-rwneandplnnenunbel.Reque8tsreceixedbefcne7:00g.l
'*,iLL be made the sane dcy, requests mcde after, T:00 on aiLL be nade the next wrking daA.
\) O n ?r-.,A
Your City Desigr,ated. Job Nurnbe? trt / / U ?*
UNDIRCPOUIID PLIJMSTN1, SILIEP) W.ATER,
-
Tl$-lrenehee.
i1 uaomrLOOR pLUt:Bntc ,t ilEcltAvtcAL:llof
floor insulation or decking.
POST AND BEAM: To be nade Prior to
TiiiiTTillc" of ftoon insulalion or
decking.
ROTlCH PLUIIBI:IC. IT,ECT!7ICA:. 'S IIECil-
lYrcai: No uork is to be aouered
illlT-these inspections hatte been
nade mul approoed.
FLPEPLACE: Prior to placirq facing
materials and befot'e franing inspee-
tion.
FRA\IING: l'tuet be requested after
apprortal of rough plwnbing, electni-
cal & meclanical, ALf, roofing
btaeing E chinmeys, etc, rntst be
cotnpleted. Ilo ucrk is to be con-
cecled until this inspection lns
been made anC apptoted,
SITE INSPECTII)N: To be nade after
eccat a;lon; but prior tc set up of
forme.
! NpEiF L49 P I.u Wl A q' 4!LD!!,\J! A!.-4
I,tECHt\llICAL: To be nade before any
Gik'is cotsered,
POOTfNG & F)UNDATICN: To be maCe
after trenches are and
foms ot,e erected, but pt ior to
pouring ecneret€.
FIIIAL PLUMBIIIG
FINAL I|ECHANICAI,
FINAL ELECTRICAL
required uapor bat'rie?s a.re in place
but before any Lath, gypslun boat'C or
tnLL couev'ing is applied, and before
any insulabion is concealed,
BARRIER
To aLL insul::ticn
DRYHALT, TNSPEC?T)N: Tc be made
afrA-a[[ drjuall is in place'
but pnior to cntJ taPing.
MAS1NRY: Steel location, bond
6iffilgrouting otr oerticals in
accordance vLth U,B,C, Section
I,IOODSTOVE:;@;TA.After installation is
cuRB & APPie4lH A?!p!t: After fonns
,r"" ""*tA-6;; p;l* to pourtng
conc?ete.
SIDEIIAI,K & DRII'EI,IIY: FoY aL! eon-
cre*-pirting uithin street right'
of-ucy, to be made after aLL etca-
oating conplete & forn wrk & sub'
base mcterial in Place.
IENCE: h4ten conPlate -- PY'ouide
gates or nouable sectians through
Dil tr
ALL pnoiect conrlitions, such cts the installatton of stteet tree_s' conpletton-of the
nnqui.n)d" Lind.i."pt*g, Ltc., m,tst be satisfi.ed befo*e the B(fiLDrNc FINAL can be requested'
FINAL BU.1LDINC: The Final Building fnspection mtst be requested aften the linal Plunbing
Electr'tcal, anC Mecharical Inspectlons ilqvn been made atd approoed'
*AT,I, I.IANHCI,ES AND CLTANOUTS IIUST BE ACL'ESSIBLT, ADJI.]STIIETII TO 8E I'I.ADE AT NO COST TO CIIY
Hcmes
Blocking od Sat-up
Plumbtng connectione -' s&)er and uatet
Electrical Connection - Blocktng, set'us
and plwnbing connections rrust be apprcted
before requesting eleclrtcal inspectio:z
Aecessory Building
Pinal - After pcrches, skirting, decks,
etc. ate cotnpleted.
Sanilaty seaer eapped at propet'ty Line
Septic tank puryed and filled uith gra:sel
Final - h4ten abctte i.tens a.re ecntplete,C
and uhen Cenolition is conplete o? st"u3-
ture noued and premises cleaneC up.u
I
Lot Sq. Ftg.
% of Lct Cotserage
ll of Stor"tes
I'otal Height
Topographg
Total
LCT TYPE
_ Intericr
Co?net
Panlwndle
Cul-de-sac
Tate
Jt
I HAW CAREFULLy DXAMINED tle conpleted application for pennit, and do
ini.Oy ie,rtifa that aLL infonnati'on het:eoi- is true an1 ccrtect, an'C I
furtier certZiy that any ard aLL Dotk perfoy-.1ted slnll be done in accor-
'ilan e uith th'e" OrdinencLs of the City of Sptingfield, and th-e Lans of the
state of ,regon pertainino to the wrk cescribcd herein, cnd tlnt No occu-
i2ncy ,lU b"e nnde of any" structut,e uithouL permis;i-on of the Suilding N-
oision. I further cet'tifii that only contrdctors antd enplcyees ltho d?e Ln
conplianceiitt', cns 701.055 aiLL be used on this project
PLafi EicJnltxeT'
v/-tz-87
*
SOLAR ACCESS REQ.-*
Zone
JOB NO.L-CO
Beiroons
Aac:e ss
!leat
a)
Ilour;e
Lot Faees -
l(Ic t'
toDe
Valuesq.ffG xfTELI
Main
Gandoe
CarpcPt
Accessor!
TOTAL VALUE
s.D.c. L,5 a
PLan
Date Paid:
Signed:
Building Vqlue & Permit
This pennit is granted on the enpress eond-ition th,t-t the- saiti-constructton
shall', in all iespeets, confotm'to the Crdinaiice edopted by the City 2f
ipilrg l;nZ, inc Ludtng' the 2oning Crdinarrc-e, r e g ul cL'i.r'4 the c c.n s t ra:\:-" :., ^ona "'oZ of Luildings,- and nty be suspended or reuckeC at ct:y tlme upon oLc-
Lation of any prcuisions of said 1tdinanees'
Butlding Pendt
Total Clwrges
,(
State
Plumbing Permit
No Derson shall consttuct, install, alter or clnnge cn! net' cr existi.ng';i,;b;rg'";-iroinage systLn in ulLole or. in part, unless sueh person is Lhe
ingif p"o""nr"o, oy"o u"altd. pLtnbe-rts Lic.ense, e&cept that a person nay 1o.
ptiriOlhg aork to propexty ,hi"h i" ou:ned, Leased ot' opetated by the appli-
cant,
FEE
*
Fi*tutes
Restdential (1 bath)
Seuer
Plwnbinq Pernit
State
Total
Electricol Permit
whet,e state Lco requiyes t\",at the electrical uoyk be done by _an Electtical
Contraetor, the el)c*,ical portion of this permit shall not be ualiC until
the Label'tns been signed by the ELectrical Contxactor'
Total
Stcta
FEE CHARCE
,(
Mecho nicol Permit
.ul<e-
Nau/Eetend Circuits
Setttice/f
Erharct Hood
I'lcodstoite
Vent Fan
PermLt Issuance
llechanical Permit
-- ENCROACHMENT --
Seanritu Depoait
Storage
Maintenance
Pernit
Cutbcut
Sida,talk
!ence
Electrical Label
I"lobile Hotne
?o z.e€a
"^o/ ,a/-c /
+lt
,TOTAL AMOUNT DUE: *$rce*sg Signed 5;E;--
NO.
Ilat.er
,t
NA.ITNM
F\trntce'FTll'S