HomeMy WebLinkAboutPermit Building 1981-05-29l^+n INTORMAIION TINE
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ing Permit lnfo:
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SOURCES:ERGYEN JHeo
olue of Work:
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ETECTRICAT
MECHANICAT
- 30 -'-1
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NO.furnoce/burner io
-ETU'S
0
fixtureEoch
NU.
L Applionce vent
sePoro leINew circuits. qlte.qtiont
or extensionrRelocoted building
{ix. oddi Stolionory evoP.
cooler
SERVICESIS.F. Reridenge
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:1
Vent fon with
single duct
Tem pororY C9!tl99I9I--borh) eochDu Venl syslem oPori from
heoting or 1.C-Ampr. , o 9-IAddilionolborhI I
Mechqnicol exhousl
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Heot PumP
I Stor.m Air hondler to
r0,000 crMI
TEEDERS
Air hondler oYer
10,000 cFM
DATE
tlood Ploin
Plon ck. comm/lnd
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30"h1 Per Fee
pe/ Conrt.
5y:temr DeveloPment
Bosir for Builder'r Eoord ercmption;
NAA{E (Plaorc Print)
Fire Zone Eedroomr
FOR OFFICE UsE ONIY
TURE
tSsuANCE bFrPeRA\lT
Pe
Plon Ck. Res
Tooe
x Volue
x Vo luc
1 Volue
TOTAT VAI.UATION
BUILDING PERMIT
Chorgc: ond
Surchorge:
PLUMBING PERMIT
Chorger ond
Surchorger
Group Sq. Ftg' Other
Lood Sq.Ftg. Access
Sidewolk
A/C Povins
I
PERMIT IChorge: ond
S urcho rge r
Curb Cut
TOTAL
MECHANICAI PER}^IT
Chorger ond
SurchorEer
EI I,*--) r a
lt
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fr.
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Amor. ^2 O c.lI
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COMBINATION AppLtCATION z,pERMtT
l. Appliconr to furnish -A. Job Address
2.
lectricol ceil or forced oiroter,.e ioliors orE. Squore footo ge or voluotion , etc.
B. Legol DescriotionI. exomple-rox lot.l 0O, Lone County Mop Reference l7 03 43:: ex;;E_ro, l. Btock 3,lnl;Jj,;; ro sprinsfietd EsroresC. Nome, etc. of owner ond construction lenderD. Energy Sources
(CAP)4
foot house, 500 sq. foot goroge
roiect, check new-if oddition, check
PERMIT VALIDATION
2.
PLANS REVIEWED BY:
exomole- I 250 so.
exomoie-if ne\- n.- rodd, etc.
F. Building permit informotion:I. exomole-construo single {omily house with on ottochedgoroge
2. exomole-remodel existing goroge into fomily room3. ;x#EjE-converr sinste fJfit, ,l.rJ.i.J;;;l '"""'- restouront (chonge of use)G. Volue of work os defined in Seciion 303 (o) of theStrucrurol Speciolty Code
H. DESIGN TEAM AND CONTRACTORS
To ovoid design or construction J"loyr, Building DivisionStoff must be oble to contoct oppropriote persons regordingdesign informorion or iob siteiJrections, etc.
li. Ab6revioted plumbing, Mechonicol & Electricol SchedulesA. Except where blcnk spoces occur in the descriplion porlionof the Mechonicol ond Elecrricqf S.l"arf"r,;:';;;iil;,need fill-in ":ly rl.. No. Boxes odiocenr to tf,. "pi-ropriotuitem(s) to be insrolled
B. Full Plumbing, Mechonicol, ond Elecrricol Schedulesore ovoiloble of rhe Building DivisionI. To conserve spoce on thJpermit form the schedules .lhove been obbrevioted2. lf rhe item(s) to be instolled ore not covered on fhe obbrevi-. ored schedules you should consult tt,, f"il *frJri"J'C. BUILOING DIVISION STAFF WILL FILL OUT Att FEES ANDCH.ARGES ON THE SCHEDULES
lll. Applicont to sign ond dote
Whenever possible, rhe iniriol opplicotion will be used os oworksheer only. Where possible, builting Division Sroff willFrcpsitj c t7g,r'v.,riiren copy ond refrrrn ii to the opplicont otthe time rhe oouol permii is issued foi his =ls^"i;I".
--"' -'
lV. Fees ond Chorges
Plon check fees ore due ond ooyobre ot rhe time of the oppricotion,ond no plons will be processed inrilliese fees qre ooid- Alrother fees ond chorses ore due ""d p;t;bl;;"; Ii" pJ,ntis issued.
V. FOR OFFICE USE ONIY Permit Clerk
PROJECT CONDTTIONS TO BE SATISFIED BEFORE OCCUPANCY:
J
Additionol Proiect lnformotion:
nome signoture dote