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HomeMy WebLinkAboutPermit Plumbing 1982-01-14INSPECIION I,tNE 72&3769 INFOTMATION I,INE 7263753 CIIY OF SPRINGFIETD COME!NATION APPIICATTON/PENiIII 4 s3 [egol ENERGY SOURCES: Woter Heoler Heot Volue of Work: Sq. Frg. Moin -- New.-Add-Alrer-Rcp. - -Fence-Demo-Chonge/Usa Other Sq. Ftg. Accesr. Sq. Ftg. Other Deseribe Work (i.e., Build SingleBuilding Permit ln{o: Attoched GoFomiPhoneAddressZ nde r \ Address Phone (lics. no.)(oddress)DESIGN TEAM (nome) MECHANICAT ETECTRICAL Mechonicol exhousl PTUMBING CHARGENo.CHARGErEE Residence from I ond s.t Eoch si fixture Relocoted bui lding Vent Electricol Mechonicql furnoce/burner lo Applionce vent Residence of fr. New circuits, olterotions or exlensions SERVICES ConslructionTem {ix.StotionorY evoP. ooler Vent fon with duct Additionol both Woter Sewer Air hondlsr over FEEDERS Sewer CFM DA' '| ONtYOFFICEFOR Air hondler to Bosis for Builder's Boord exemption: NAME (Pleose Print) TURE TSSUANCE OF PERI\II TOTAT CHARCES x x x TOTAT YATUATION tlood Ploin Const. rts.Moin Fire GrouP Lood ttg. Access - Sq' ftg' Other Zone s DeveloPment Plon Ck. Res Per Plon Ck. Comm/ lnd PerBUITDING PERMIT Chorges ond Surchorges Totol Comb. Demo Pt UtttBtNC Penlr tt Chorger ond Surchorges Sidewolk c PERMIT Chorges ond Surchorger Curb Cut IOTAT[icxrNtcll Prnmr Chorges ond Surchorges ---=--------- Owner ./. €t -lr or coMBINATION APPUCATTON/pERw,.,cAp) l. Applicont to furnish A. Job Address B. Legol Descriptionl. exqmple-tox lot 100, Lone County Mop Reference I7 03 432. exomple-Lor l. Block 3,2nd Addition ro Springfield Esto?esC. Nome, etc. of owner ond construclion lenderD. Energy SourcesI. exomple-heot,/electricol ceilinq,/or forced oir gos2. eE rnplE-wore rlEG7Eleilrico I z oi soto rE. Squore fooroge or roluotioilil]-l. exomple-.l,2Ig rq.foot house, 500 sq. foot goroge2. exqmple-if new proiect, checki-ew_ii oddiri-on, c-heckodd, etc. F. Building permit informotion:l. exomple-conslruct single fomily house with qn oilochedgoroge G. H. 3 =gels-remodel exisring goroge inro fomily roomJ. exompte-convert single fomily residence intorelTEuidnt (chonge o1 use) Volue of work os defined in Section 303 (o) of theStructurol Speciolty Code -DESIGN TEAM AND CONTRACTORS To ovoid design or construction deloys, Building DivisionStoff must be oble to < d e ; i s ; #o; ; ; ;;;' ;,'i'J:i'.T? ::$:T; : i'j' " "' re s o r d i n s ll. Abbrevioted prumbing, Mechonicor & Erectricor saheduresA. Except where blonk spoces occur in the description portionof the Mechonicol ond rr"irri."f 's.i"d;l.,;rd.;;;ffi;; need fill-in only rhe No. Ao*e. ;diocent to the opproprioteitem(s) ro be instolled -- --I- B. Full Plumbing, Mechonicol, ond Electricol Schedulesore ovoiloble or rhe Building DivisionI. To conserve spoce on thJpermitiorm the schedureshove been obbrevioted2' rf rhe item(s) to be instored ore not covered on the obbrevi-ored sc,hedules you should .oirrfr the fril-r"iJ;i;r--,c. BU|LD|NG DtvlstoN STAFF WtLr rrit our AtL FEES ANDCHARGES ON THE SCHEDULES-- ''-' lll. Applicont to sign ond dote Whenever possible, the initio.l .opplicotion will be used os oworksheer onry. Where p".riul.f Eririin"g oiuirion Sroff wirlprepore o typewriren copy ond return lito the .p;i;;J;;the rime rhe ocruol permir;r;rr;; ;;; his signorure. lV. Fees ond Chorges Plon check fees ore due ond poyoble ot the time of the oppticotion,ond no plons will be processed Lntillhese fees ore poid. Allother fees ond cho is issued. rges ore due ond poyoble *t"n if," f"r.it V. FOR OFFICE USE ONLY - PERMIT VATIDATION Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY: Additionol proiect lnformotion: nome signolure PLANS REVIEWED BY: