HomeMy WebLinkAboutPermit Building 1989-12-19Rcce
Date:
.. RESIDF\TIAL..
" APPLICATL
225 North |th Street
Spningfield" 1regon 97477
BuildLng Diuisio.n
7 26-37 53
SPFIINGFIELD,PERILIT
J
tu
#
,I
3 5Job Locaticn:
D3 o Tct Lot llAssessors Map #
Subdioision:
hwrnc- LA.mer:
5 ,_Phone 74/,Address:
Ci.ty
Descri-be l'ork/ar /u*vt0*
ValuevDate of
lddition
RemoCel + /,Voffirrorn
T
General
a1
Plurnbing
l.lechan
EIec: Erica
c 1a t]Elec t t:rv1€lS rrD
0R l.:)vx) BUi 'i;CS
DEI.IOLIT-
Sanila'y seser capped at pt'opetty Lire
Septie tank pltrped and filled uith Era:;el
Final - lr4ten abctse itens are ecnpleted
Zr{inn" Cer.tclition i's eotnplete- oP st?ul'
lif,n-io,r"i and' premi'ses cleanec up'
Blocking and Set-ttP
Plwnbing conneciions -- aa)er anC uater
Eleetrical Ccnnection ' BLocking' "nt--1.?-,
2"7 ptiit"g co.nnections m;st be appt'ou-ed
A,i?.|rc requles t "ng e!' ec
"ri
cal inspec lio:t
Aecescor'; BuiLC"n4
Final - y',fter pcrc-|"'es, skirting' decks'
etc. are ccnPleled'
Pa,,;e 1 ol I'
nesponaibility of tle petmit ho,ld3r
'treet, and that the.Pe"nrlt ca"d La'Nuicion approt;ed pLan slnll tenain
to 6ee that aLL insPections are nade
at the front of the-ProPertY'
Building Sit; at aLL tines'
at the ptoper tine, that ecch ad'drees is reada'ble
It iB the Locatedfromthe s on the*Bui
Cesignated job nw;;ber',job aCiress' tYPe,
P.equests receu)ea
of insPec'-ictt
P?OCIDUPE FOR INSPECTIOII REQUEST:CALL 7:
@eadvfoy*-iit be made the sane dcy' nequests made
26-3769 (recot'der) state your City
ncne and Phone nunber.befcre 7:00 cn
inspection,Contractcrs or A)ners
aftet 7:00 on viLL be made the nctt :,nrki.ng day
Iout Citg Destgr,ated Job Nwnber fs:03
SITE INSPEC?ION:
ercanlati.on, but
To be made after
prLor se up of To maCe d
rcquired odpor batriers aIe LN p Lace
fonne.but before ana Lath,ouDsum bcarC ot
L"i."eld. and beforeUNDERSLAB PLUMBIYG, EryCTRI;CAL 8'
1',lECHittrcAI" T; be made before any
Git1€-i6oered.
wL L uez'ing 1,s dpp
dtA Lnsu Lation concea Led.
PaTTING & FOUNDATICN: To be nade
;ffi t t;;-6n nrcavated and
lorrt *n ereeted, but Priot' to
pouring ccncrete.
nPvutt.r. TNSPECTION: Tc be made
WLs.in pLace,
but Prior to anY taPlng'
I|ASONRI: Steel Location, bond
tffii7i*orting or oerti'cals in
iZiia&"" vLth u'B'c' section
2415,Tfr-fiZnches.
After installation i's
.f
ioir insulation or decking'
PIST AND BEAM: To be made Pti'.or to
6;i;TGtl;;of floor insuT'atton or
WOODSTOl,/EI
ccrlpT;TA
decking.
cuRB e APPR?A:H APPPN' , Ai!:.:-,{o-*'
a'6Are"tea but Ptior to PcurLng
concrete.
W,#;Af ffi',,lzif !'1,"r1--.'rl,i.i. to "be nade after all- exca--uLi1o'"iptete & for'a t'tork & sub'
base "na.terial i.n Place'
L inspee*ions haoe been
nade and aPProtted.
FIP.EPLACE: Pt'ior to plccirg facing
ffi;t; and before froning insPec-
tion.h4ten conPlate -- PtouiCe
or" ilooale' sections throughFRAI'IINC: Wst be
ffiioiat of roughcil & neclnnieal.
reouested aften
olinbing, electri-'ALI noofing
gates
P.U.E.
braei.ng E chinneYs, 2.13' nils.
iiutoL No abrk is to be
L-nitna until thi,a insPection
been made anC aPProued'
tbe
con-
ltas
eet eonditions, such as the instaLlation of street t|'ees'conplctLon of the
iiim """ be requested'ALL proi
nequired LanCsccPir'g, ctc' ' rnts t be satisfied before thE BUILDING
FIIIAL PLUMBING
Lding Inspecti'otz rmtst bc t'equeste^ti. cf Le" the Fi-nal Plwnbi'ttg
pf,"fio,r'"'lwuc been nade and app"oDrJ'FINAL MECIIANICAL FINAL BUILDING The Einal Bui-
Electrical, and yssha1i.i.s6l Itts
FINAL ELECTRICAL
*AT,L MANHCLES AND CLEANOUTS MUST BE ACCESSIBLE'ADJUSTNEIII TO BE MADE AT NO CCST TO CI?Y
r-l
tr
Pcge Z
OB NO.soLAR ACCESS REQ.-L-CO G+
BeCrooms:Occaoanca Cr
>t Sq. Ftg.
cf lct Ccuerage
of Stories
'otal Height
'opography
rTEM
LCT TYPE
_ fntericr.
_ Conner
_ Panlnrdle
CuL-de-sac
Lot Faces -
-- Fees --
Sounees
Se
Df ltouse Caraqe Access Hater lleateP
North
FireplaceEast
South l./oodstoxe
I
llest
x VaLue
TO?AL VALUE
S.D.C. 1.5 c
Building Volue & Permit
This pemn-t is granted on the ecpress condition tlat the sciid-conattaction
shalL', in atl rZspeets, conforrn to the fu'dtnance adopted tiy the City of
Springfield, including the Zoning Crdinmrce, regulating the ccnstntcticn
cnd use of buildings, and may be suspended or reuokeC at cny time upon uic-
l-a.tion of any prcuisions of said Ondinances.
Duilding Pet:mit
?otal Clanges
State
fl
Signed:
NO.ILL CHARCE
Fistures Plumbing Permit
Residential (L bath)Nq pet,eon slwll consttaet, install" alter or elnnge an7 nel ct, existingplwnbing o, drainage sAstq-n in uhole or in part, inlesi sueh person is- the
Le-gal .possessot, of a valid plwnber,,s licensb, eucept that a pe:,son nay doplmbing uork to property uhich is ouned, Leased or operated by the ippli-cant,
Sani Seuer
Plwnbing Pernit
State
*
Nas/Ectend. Citcuits
Electricol Permit
were state Lau re-quires tha.t the eLecttical uork be done by an Electticalcontracton, the electricaL portion of this permit slnll not" be ualic untilthe Label lns been signed ly the Electtical'Contractit,,Setuice
Stcte
fotal
NC FTE CIIARCE
,S Mechqnicol Permit
Echarct Hood
Vent Fan
Hcodsto:;e
Permit fssuanee
Mechanicel Petmit 2.ao/15
-- ENCROACHMENT --
Sacat-itu Deposit
Petmit
Cv?bcut
Si.da,talk
ElectricaL LabeL
Mobile Home
DCG
Total
f HAW CAREFULL, TXLMINED the cotnpleted. appZication fo* pennit, and doh:"1?a certify that alt infornatibn nni"iir'f." t un ohd- oZlrii"ii '""a rfut'thez' .centlfv th_at any ar.d aLL uoz.k pe,fozned. shall be- doii-ir' ,."on-eance vLth the Opdinence.s of the City _of Springfield, and, the Laas of the
Il?.t-?..[-o:fscn pe,tainins to the aoikZeslr.itla t"iLti,-"i-iit No occu_PANCY aill be mace of any structu"e without permisaion L1 tii a"Luing N-uisio-n. r further eZrtii-i1 tn"l iita-.oilt|".to"" and, e:nployeea uho a:.e inconpliance Dith oRS z0L.lss aiLL be"used oi thia j"iii,ii -"--- -'
,IOTAL AI'IOUIIT DI,IE:')5,15 Siglned
fuatu Paid:
*
*
Sto"age
l,la'tntenance
-
Fence
..REslDFNTlAL..
/PERMTT
iicce! 1 t- 1
\
J
SPFIINGFTELD-
APPLICAl.
225 North |th Stxeet
Sprtngfteld" 1r'egon 97477
BuildLng Diuision
7 26-37 53
*
T
Job Locaticn:
Ta.t Ix>t llAssessore Map #
Subdi.uisi-on:
II
b- 893ePhone:odd,",;'1033v{)I
zip:City
Date of Appli.catian
Describe h'ork -\t
Value
n Iticn,Le Home
Additicn
RemoCel
rSt rac tor
General
Pl-urnb
IiJ,ec tr ca
Elec tr: ic ia nSur-
'IOlt oR t.iovE) BU iICS
Sanitat'y seuen capped at pt'-operty Line
Septic tank p';rped an'd filled uith gta;sel
Final - l{hen abctte itens ate cctnpleted
ind uhen Canoliti.on ie cornplete- o? atrliJ-
Trin ^ort"d artd premi.aes cleaneC up'
Hcmes
Blocking and Set-uP
Pltnbing eonnections -- aanev anC uatet
Electrical Ccnnection - Bloeking' set-up ,
and plunbinq eonnections mtst be aPp"ctea
;; ; ";;: ;;a;
"""
s t i ns e L e c ! rt c aL i ns p e c ! i' o tt
f,rrii**, skirtins, decks,Final - After
el;c. are c'cmP
Aecescot'1 Bui,LCing
Pege 1 of 2
It ie the to aee that aLLinspectionsarenad.eatthepropet,tine'thatecchaddteesisrealab.;e
fron the e Located at the fwnt of the -propertY.dLL tLmes.*Sui1.ding on the Bulldin(l Siie at
PnocEDUPE FOR \NSPECTT1N -\EQIIEST :ca
requested and uhen Aou D,LL be ready
*-iLL be nade the sane dcY, tequests
LL 726-3769 (recot'der) sta!;e 11our City Cesigrn Led job nmber,job aCtbe ss, tgPe
Pequests receLxed
of inspeeti.ctr
for inspaction,Contractars or Asne;'s nrtne cnd phone ruttnber.befcre 7:00 c:t
mcde after' 7:00 an uiLL be nade the ncrt;rnrking daE.,
lour City Desigr,ated Job Nunbat' Is:
SITE INSPECTION:
ercauation, but
Io be rmde aftet'
priot tc sel uP of
TTA
To naCe aL L ticn
required oapor'ban'ieYs dle LN p lace
fonns but before any La l;h,ggpsun boarC ot'
Lied, and beforeUNDERSLAB PLUMBINC, ELIC?RI.CAL E
I"IECW.NrcAD To be made before anY
6it-li-i6rset'ed.
ULL cooerl'ng
;ion
app
dty Lnsu La conced Led
PlOTING & FOUNDATICN: To be nsCe
after trenches a"e eicauated ana
Too t *n ereeted, but Prior to
pouning ecncrete.
DRYI,\ALL INS.PECTI.Q-N :. T.c
after all drYaaLL ts.tn
but Priot' to cnA taPlng
be made
pLace,
\NDIRGPOUI\D PLUMETNG? SEIIER. Ir'4rll'
DRAINAGE: To be rrude PrLor Do !LL-
@-Ti6nches.
UNDERFLOOR PLUJEING 4. MECHANICAL :
ro be nade orLor to m-ili|Tii{oi o1
floor insul,ation or decking'
MASINRI: Steel Location, bond
iffiiorouting or oerticcls in
icordaT.e Llith u,B'c' sectt"on
2415.
WOODSTOVE:@;TA.
After installation is
POST AND BEAM:
TisTiTTatla" of
To be made to
or
CURB & APPRP4CI| APP:ON: . Aite;',{lnns
&TJrecteC but Pt'ion to Pourtng
concrete.
SIDEWALK 4 DRIYqtltlY: For aLL ecn-
;;;te paurrr{l uithin street right-
iirni, to be mace after aLL exca-
iltl,rl"q'"o"plete & fotn uork & cub-
base nateri-al in Place'
No
these been
nade attd approoed'.
FIP.EPLACE: Prior to plccirq facittg
materffi; and' before frani'ng i'nspec-
tion.U!eL'hrhen comPle te -- ProttiCe
FRAI'IING: l'lust be
ffiiooat of rough
ial a nechanieal.
reouested aften
plunbi.ng, electni-- ALL roofirq
gates or nooable secLians through
P. U. E.
bractng E e'
eortpLetad,
ceiled unti
hirmeAs,etc. rntet be
llo Dork ie to be eon-
L thte i,nsPectton lws
been nade anC approoed
suc1t at: Lhe' in::t:allaLion of sLreet trees'eo:tt-lcL:on of the
^r^)ALL pnoj ecb aond'iti otts ', rmtst be saLisfi':d before t;he BUILDINC FI)iAt can be reque
FINAL PLUMBIIIG required LandscePing, ctc
FI MECHANICAT,FINAL BarLDrNc: Tluz l,t)nal lluildirul. rlrspat:tiort nuet bo requested 'zfLer the Final Pluunbittg
ELec trical,t ora u""no'i'"'i 17" w iii"iJ-' t-' o' ii ni ide a'td' approu e d'
FINAL ELECTRICAL
I
IALL I,IANI]CLES AND CLEANOWS MUST BE ACCESSIBLE'AD,tusrltErl T0 BE t',t.411 '4T tto ils'i r0 crv
n
Date
I)
t-t
I
n
:,.t c
OB NO.SOLAR ACCESS REQ.-L-CO G+
BeCrooma:ne
't Sq. Ftg.
of lot Ccuerage_
of Stories
ttal Height
opography
ilIEM
Total
Crc,
r,CT TYPE Lot Faces -
fntericr
Copner
Panharulle
CUL-de>sac
-- Fees --
Plan Etcnitiey uate
f Il.lVL' CAREFULL, EXAM|yET t-he conrpleted. application fo, pernit, and doherebv ce,tif.y that aLL informatiZi- iZiii"' r." ttue aitd "Z"ii"ii
'r"a tfurther.cgrtlfu th.at any o)d^oLL ""ri-pziio*ed. atult be done in.accor,-ttance ai bh the ordinancb.s of the city.Zi bpz.i.nsfiAe: ;;;;:i; iis oy tno
i.l1.L,?. '1.'-9"?scn pertatnins to the ,nik 1es*.tblh iliLti,-"ii" tli, No occu-I'tilcy utll be mie, os ana st"uctute utthout permteaionLf iiiii,dlalng N_uision. r fu.r,ther cLrtiill thet ;;iu-;;:;t;;etors and enplcyeee uho are inconpliaru:e uith oRS ?01.bss uiLL be"usei-oi thie i""liii--"--- "
Enerqzt SouPces Tyne
Setbacks lteat
ilr.use Ca?aqe Aecess llater, lteate?
I/ot,th
|.,:as t FinepLace
Sot;th lloodatoxe
It/es t
x Val u,:
TOTAL VALUE
S.D.C. 1..5 c
PLan
Date Paid
Building Volue & Permit
Thi:; perrnit i.s gnanted on the eicpress condition tlwt the sciid constyaetion
stwl'\., i-n ttll. respects, confotmr'to the \rdinance adopted 6iy the City of
:iprtru1fte.Ld, including the Zoning Cydinance, r,egulating the ccnstructicn
and use o!'buiklings, and may be suspended ot, reuokeC at cnA tine upon oic-
Lal.ton of any ptcuisions of said Ordirwnces.
Euilding Petnrit
?otal Clnrges
State
Reeetpt #:
N0.I't't)CHAII(;T,'
Fictures Plumbing Permit
No_ pet'xo,. shall. constmrct, inetal!, alter on clange an! nel ct, existingplwnbing or drainage sys_t? in uhole or in patt, -unlea-s such person is'the[e-1al.possessot' of a ualid plwnberts licenee, arcept tlut a pbrson nay dopl'w;bing uo,k to pt'operty ihich is ottned, Leased, in operatii ty lne ippli.-cant.
Residential (1 bath)
Seuen
erl
Plunbing Per.r.it
9tate
rLL
Neu/Ectend Circuits hrhere St.ate f,a)
Electrico I Perm it
requires tlnb the electrical uork be done by QN ELectriea LCorttractot,the e leetrica L portion of this permit elwllLectrical Contractot,.
not be oaZiC ti LSet'uice the Labe L lns been signed by the un
E
State
?otal *
NC CIIARCE
,s Mechonicol Permit
Echanet Iloo,1.
Vent Fan
I,lcodstotte
Penntt fssuanae
MechanicaT. pertrt t
*
-- ENCROAL'HMENT --
See,,tt-i t
Stoz,age
Main
Permit
Cut'bcu!
Sida,talk
!ence
I
Mobile tlone
,I'0TAI, ALIOUII? DUII:''/ 88 Date
..RESIDENTIAL
APPLICATi /PERMIT
'a€ 9+,#
SPRINGFTELD
J
k
7
Ir
mrt
225 Nonth |th Street
Spr"Lngfield, )xegon 97477
Buildtng Ditsision
7 26-37 53
J
,)
{
n
Date
Plumbi
l.Iec nl-ca
Elec E r
33,lob Iacaticn:
?as lot ilAeeessore Map fl
Subdivision:
Otmer:
Addt ess:.23
ci zip
Descz"tbe h'ork:
2?z -/Z-;2,>l
Value
t--t Neln
CD
L
Le
Additicn
Date of AppL
Snt rac t
{s JGenerala'1
Srr 1€Elec Et:c Lan
DEI.IOLITIOTI OR Dtl 1
Sanitary seset' capped at pm.operty Lite
Septic totk punped ant filled tr|th gra;tel
Pi.nal - l{hen abcue i.tens are ecmpleted
and. uhen derlolition is cornplete ot strus-
iin ^ou.d and premises cleaneC up'
Blocktng atd Set'uP
Plunbing connections -- saoe! otd uater
Eleetrical Ccmnection - Bloeki'ttg' lei-uP -;;;i;i;";- eonneetione mtst be aPProt;ed
f,":o," ilq"""eti-ng eleclrical inspeelio:t
Accessor! Buildi,ttg
pcrck,s, sk"Jrting, deeks'
7e!ed.
Pinal - t.fter
ete, ate conP
Page 1 of 2
It ie the neaponaibilitY of the permit ho thataLLinspeetionsalenadeatthep"oPertine'thatecehcddreesigread,abi.eaee
fron*Bui 7-ding D,loi
t, and that the
ciotz appt'o"'ed P
penrtt
Lan ehc
Located at the front of the property'
on the Building Site at aLL times'the atnee
SI?E INSPECTION:
e.acauation, but
?o be rmde after
p?tot tc set uP of
card
LL remain
26-3769 (recordet) state YouY Ci-tg Cesignated job nwtber'iob aCdress' tYPe
Pequests l€c€Lu-€d'
of inspeetictt
inspection,Contractors or A,mers rntne and pTone nunbet,.befcre 7:00 an
aftet, 7:00 on uYtLL be made the nett wrking daY
Iout City Desigr.ated Job Nwnbev fs:
To nade d
required oapo?
@ta Lnau Lation
PnocEDUPE FoR INSPECTION ,WIIEST;CALL 7
requested ar,.d uhen Aou DLLL be readV !o?
'aiLL be nade the sane dcy, ?equests ncde
fonns.
UIIDERSLAB PLUMBTN}, EL;EC?Rr!A! &
@cnnfrfcAL; ro be nrude before anY
ffi7iZuercd.
but before
LN LL cooering
WOODSTOVE:
@mpGtA.
@t!
Aftet installation ie
bof iere ue in Place
Lath, .gyp_swn 2o?"4 o".
is appli.ed' and before
is eoncealed.
F1|TINC & F1UNDATICN: Io be rmde
;4ier trenct;s are escatsated and
1o*" *n ereeted, but Prior to
pouting ccncrete.
\NDERGPOUN D PLUMD rNG? SEW.ER, .W.4LE'3.
DRAINAGE: To be nnde P?Lor co JLL-
Tff66nchee.
'ar
fLoor tnsula.tion or decking'
P1ST AND BEAM: ?o be nade Priot' to
ffiTfrTatl6Vof floor insulation or
decktrq.
RI?GH PLAtBrttG.,E?ETRr?AL e MECH:
Tnici[: w ioi[-ie to be co"*et'ed
ffitTthes"- inspecntons laue been
made and aitprooed.
EIPEPLACE: Priot to Placit4 fceing
,rrdtilffi ard befone frunirq insPee'
tion.
FRAIIING: litust be requeated aften
"op-ffii;L of rough pLttrbing, electri-
ilL 8 meclnnieil. - ALL roofitq
btacittg A chinmeYs' e.tc' rrust be
. compleled. No tPtk is to be eon-
, oeiled until thia insPeetion lae
'been nade anC aPPtooed'
CURB & APPRCACH APION: Aftet' .fonnedenected but Pnior to Pou?Lng
concrete.
';i#ffi ffi ur?J,r"',ln"n"ri-
of-unu'. to be made after aLL etea-
iLt+"Z- eomplete & forn wt'k & sub'
fuse-iatetiaL in Pizce'
IT1 DRYTIALL INSPECTION: TC bE NAdC
I Kl 76* ;n-AruaTra .in ptnce,
^ but Prior to anY taPing'
IIASINRI: Steel Locati,on, bond
66ffi7g?outing or uerticals in
o.oonid&"e Lti.th u.B-c. section
24L5,
FTNAL PLUMBINC
FINAL MECHANICAL
PINAL ELECTRICAL
-.:ALLprojectconditions,suchaeLhei.nst.allationofall,eettrees.co'lplc'"tonoftie
requined Landsc"pir4l"LtiJ.,'',irir-iL "iltittzl-l,"iri"i tn" aurLDrfu:G iriu' "o' be tequeeted'
FrNAL BUTLDTNG: The Ei,nal Bui,Lding rnepeation m,a,t be requested after the Final Plunbirtx
E L e c tric aL, ona un onori.li ri"iZZ, il"io-'hs' n i n nn nade ard' appr oo e d'
E
|AT,L MAIIHCLES AND CLEANOUTS TIUST BE ACCESSIBLE, ADJI]STIIENI TO BE MADE AT NO COST TO C TY
Phone:
f1 ytNce: tthen conplete -- Prooide.l'ffi. "r",iior"ZT[ "Zllto'"- 7r**sl' nP.U,E.
z
OB NO.
,t Sq. Ftg.
of Lot Caserage_
of Stortes
ztal Height
opogfdphy
!EM
TOTAL VALUE
S.D.C. L.5 x
SOLAR ACCESS REQ.-
LOT ?WE
Interior
Corner
Panlundle
CUL-de-sae
Lot Faees -
L-COG*
BeC.t oona:
PLan
f HAW CAREFULLy EXAMINED tle catrpleted applieation fot pennit, and, doyt'ela cetttf-y- that aLL inforrrution hereon' ia true aitd irtecti ard tfutthet'-eentify that any ard aLL uo?k pe"fomed elall be done in a""or-danee rrith the 1tdinancee of the Ci.ty bf bry"tngfield, and, the Lane of thestate of oregon pettaining to the :.;rrk ceecrLbed herein, otd tlnt No occu-P4Nc: ttil.L_ b^e n 7ce of arl.g atzactute tithaat pernieeion b1 tt e Building Di.-oiaion. r furthen certify that eila contracio?e od mplcyeea uho @Z ineanpliance uith )RS 701..055 uiLL be-used on thia pnoject
Access.P. L.Houge Carage
NoPth
Eost l
toxellSouthlWest
FTG x Va
x\t)(p
Signed:
#
Paid:
Building Pennit
?otal Clarges
State
Building Volue & Permit
This penrtt is granted on the etpress eottdition tlnt the sciid eonstmtction
"l-LL', i, all rZspecti'- ioiior*'to the Ordirnnce adop.ted biy the clty o.f
spilrrg|i"fa, inc?.luding- the Zoning Ctdinanc-e, regulating the ccnsttucticn
ira
"-uL
of -buildi,ngs, and may be suapended on reookeC at cny tine upon oic-
Lation of any prct;isione of said Ot'dirnnces.
*
No person shall conatract, inetal!., alter ot ehange any neD cr esieting
plumbing or. dtainage BAstan in ultole or in part, unlees sueh petson is the
Legal poseessor of a valid plwtber's licenae, escept tlat a pelson nag do
plwnbing uork to p?ope?tV uhich is oulned, leaeed or operated by the appli-
cant.
Electricol Permit
Where State Lan requiree tha,t the electrieal uork be done by an Eleottical
Contraetor, the eleettical portion of this pernit slall not be oaliC until
the Label lwe been eigned by the Electtical Conttacto?.
NO.ILL CHARGE
ILL
D
Firtures
Residential (1 bath)
Seuer
Plwnbing Penrtt
State Sweh,ange
Naut/Extend. Cincuits
Setoice
State
Total
Plumbing Permit
-- ENCROACTMEN? --
NC.CIIARCE
,t
Mechonicol Permit
Eshast HooC
Ucodstoue
Vent For
Pemit fssumtce
Meelnnicel Permtt
Secat4tv D?posic
f!9oog"
l,bi4tenance
Perntrit
,ndt
L\ttbcut
Sideualk
.vence
Electrical label
l,bWle Hqne
UTO?AL AMOUN? DUE:*
*
Signed Date
Sel
Wctcr