HomeMy WebLinkAboutPermit Mechanical 1981-04-20Ld 11 - 01 - 22- 1.2
$- atl -i*r couNTY
L
I NSPECTI0N RECOxr.r
OI^INER' S NAME PH ONE NUMBER
n NTS
L FRONT SIDE IN RI OR REAR
K ED BY PE
DIRECTI NS TO SITE
SITE ADDRESS PERMIT NUMBER
FOOTiNG / FOUNDATION IApproved Correcti on D'isaPP roved Date
NS PECT I O NO R MOBILE HOME SET UP INSPECTION
I ns pec tor
CONCRETE SLAB / UNDER-FL OOR INSPECTION
Approved Correctj on- Di sapproved Date Insp ector
UNDER SLAB / PLUMBING GRO
Approved Correction
UNDWORK INSPECTI
Di saPProved
ON
--Da
te I nspector
nOUGH TLUIIA I NG I NSPECTIApproved Correctjon Disapproved Date I nspector
FRAMING iNSPECTIONApproved Correcti on_Di sapproved Date I nspector
INSULATION / VAPOR BARRIER INSPECTIONApproved Correct j on_Di sapproved _Date I ns pec tor
LATH-7-GY-PStrMBOA-RtrIXSPEETMTApproved Correcti on Di sapproved Da te Insp ector
proved t/C
NSPECTI ON
orrec ti on Di sa pproved Date -?I nspector
NSPECT NApproved Correctj on D'i sapproved Date I nspector
MOBILE HOME
i sapproved L I ns pec tore
Form C74-L97
OCCUPANCYCERTIFICATE OF CUPANCY EMPORARY CERTIFICATE OF
t e-_-----*__I n s pec to rApproved--__Correctjon Disapproved__Da
I.INAL ]NSPECT tsUILI.]ING
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CHEC HST
ICANT INFOR]VIATION:
or 1cl &L4$
PLI]MBING CONTRACIOR
SS or
Cont. OSR#
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Yes Firm
Address
E No D s"rr
&E t. osR# / 53O L
3+-u
MEGIANICAI CONTRACTOR es Firm
Address
I No f] serr
PLtJlAING
OFFICIAI USE ONLY
f.l#i;/u1*zt
Type of Fixture Number of Each Fee On Each Total
Sink $ s.oo
.va s. 00
tub (with or without shower)5. 00
Shower, separ"ate 5. 00terosetts.00
5.00
EI 5. 00
5. 00
a 5.0Floor Drain 5. 00
_,Sewer--lst 50ft.15.0t
each additional 100 ft.10.00
Water Service--1st 100 ft 1s.00
each additional 100 ft.1 )
Storm and Rain Drain--lst 100 ft.15.00
each addi tiontl -100-Et .10. 00
a 1 Was te Connec 5 .00
Sewage and Sump Punp I .ei ector 5. 00
1e Home Sewer and Water 10. 00
c1
S{E-TOTAI (Minimum $fO. OO;
TOTAT FEE
MEGIANICAT
Type of Equipment l'iumber of Each Fee on Each Total
ca1 t Base
Furnace to1 $ ro. oo$ 6.T0 1-.DDover 1 BTU 7. 50
C1 t
1 on
w1 ca1 ttove
Air tioner On1
a
3. 00
3. 00
4. 50
6. 00
6. 00
6. 00
stem
r
to Ou ts 6. 00
50r1
STJB-TOTAL lb,0D
TOTAL FEE -Ne4t
Oset-rad-;
I I
Wash .tsasln
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.er
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