HomeMy WebLinkAboutPermit Building 1987-09-09.. RESIL-NTIA[..
z2s North sth streelPPLrcATr,N
/PERl,rr
SprLngfield, 2regon 9747?
ButLdirq Diuision
7 26-37 53
ll
SPIIINGFIET.D
F.FrP
72 <.
(n
7rz''6.d€
,4-,ga?-e3
76-7>
Date:
Pltottbi,.ttg
Meclunical
Cottctflicttoi Leadet
r: i, lrn *epolttibi-lip.ol-ttc perltit ho_14a. b aea tlnt all ircpeetiotu oe nad.e at thz pto?e? tite, tltat ecch sl,t-eas ia tedeahlef.y--tb ett-'egL ard that the o*nrit catd, ia teated at the frcni of th,e prop*fu.*Bztiaieg Noicioz aprot;ed plbt shc.Ll z,emain on trte g"i.idirh' iiie at aLL times.
?IocgDUPE;F1R. IySPEcIroN,E-=QyEST:CALL726-3769(tecorder) state yout City Cesigna,ted job nmber, job aCCtess, type of inepeelicn
:tr*^:<-*:1.:ao" -uiLL beieadg for inspection, contractors o; anters'nane Znd. ptnie aunbi.' R"A;"i relel.i;Za bLycne'z:00 q.t'|LYLL be nade the eane dcg" nequests nade aftet ?:00 otr ttill be nade the nett uotking'd,ay.
? 36*-*Job Iocation:
Taz lat # 4)aAeoessors Map #
Subditision:
Phone
Qsner:
Addtess:
Describe Woyk:
Efrar f;7v=q fua
Bur-PtFa. ci fu/ 37//7c2
faa4D,//raq. 3a'X32'
zip:D
a5
Value
Additian
RanoCel
Ceneral
Page 1 of 2
SnE INSPEC?ION: Io be rmde afterezcaation, but pt'iot tc set up of
ro?mg.
AfiDERSLAB PLUMBTNG. ELECTRICAL &
WC{LVCAL: Io be nade befot,e any
t'to:rk ia caered,
POO?IN1 & FOUNDA?ICN: ?o be nadeaftet tz,enchea a?e eseaated and
forns ate erected, but prtor topourtng cctterete.
ANDgRGPOUND PLUMPING. SEWR, W.|TER.
DRAIIIAGE: ?o be nade prtor to fil-@-iFinctee.
INDERFLOOR PLUMBING & MECHANTCAL:
oy
floo ineulation oz. decking.
POST AllD BEAU: ?o.be made prLor toffi:tw ltro1 floot, insuhtion or
dccking.
ROUGH PLABINC. ELEC?RTCAL & MECH:
ANICAL: No uotk is to be eo.-et,ed
.ffitheee inspeetions haoe beer
Md.e @td. approoed.
FIPEpt!. Q: Prlor to placirq faeingnatertale and befote franing inepeb-tion.
?RAl'!fNG: ltuet be req-ueated after
appnooal of rough plwrbing, electri-
a,L & neclanical. ALL roofing
braetng E ehimneys, etc. mtst be
i eonpleted. No uork ie to be con-
,.,.;.ceated unti,L this inspection laarbeen trude anC apprctted,
TNSALATT2N/VA?OR BARRIER IttSplC?rON:
To be nade after aLL insulaticn cd
tequired oqor borie?s @e in place
but before ory lath, Wpsutn boatC or
tnLL cooering is applied, and before
or.y iraulation is concealed.
DRIWALL fNSPEtrf1N: ?c be nwdeafter all dtyuall ie in place,
but prior to any ta?ing.
I'IAS)NRI: Steel Loeation, bond
beons, grouting or tserticals in
accordaee uLth U.B.C. Section
241 5.
Sanila4 ea,tet eappted at WopefiA Lirze
Septic totk paryed at1d. fi.Lled. tith granet
Final - h\len aboue itene are eonpleted
and uhen Cq.olition is conplete bt stmtc-tute noued otd. ptenrLses cleaneC up.
IlOWD BUILDI\,ICS
e Hcmes
Bl-oeking otd Set-up
Plunbing eonnectiotw -- aa)e? otd. uatet
WOODS?)\'E:
@npT;TA.
After installation ie
CURB & APPROACH APPON: After fornsee erecteC but ptior to pouring
conerete.
SfDEWALK & DR|VEWAI: Eor aZL eon-
crete paoing dthin stteet right-gf-teA, to be mad.e after aLL etca-
oating cattplete & forn tsotk E sttb-
base raterLal in place.
?_ACE: When conplete -- tuottiCe
gatee or nooable eections thnough
P,U.E.
Electtical Cotnecti.on - Blocking, eet-up
and. plunbing cotnections tntst be apprcobd
before requesting eleclrical inspectiol
Accessory Buitding
Pinal - After
etc. ue cornp
pcrches, ekirting, decks,
leted.
FTilAL PLUMBING
PTNAL MECHANTCAL
FIIIAL ELECTRICAL
ALL proiect eozditions, such ae tle inetallation of stueet trees, co.ryLetion of tierequited landseqirq' etc., rmtet be eatisfied before the BUfLDfNc FLNAL can be requested.
?|NAL BULLDIIIG: The tinal Building fnepeetion mot be requeated aftet the Fittzl plunbing
Electr.tcal, otd, Meeltarical rnspeetiona 't@e
been nade atd'approtted,
*ALL MANI|1LES AND cLEANours MUsr BE AI1ESSTBLE, ADJUSTTEN? ?o Bs MADE A? Ito cosr ro cr?!
re,6
Date of oppti.ori.on ? '2-g 2
-
V ,rouorn r*u
contractors Addz,ess Lisc. #
' you? Ci,ty Deei,gnated, Job Nunbet 1", 5i- #?
r
tr
Z
Ene?(tu Sou"ees TyoeLot Faees -
lleat
P.L Houae Ca?age Accesa.llater lleatez,
North Range
East Fireplace
l,/oodstoxeSouth
tlest
Lot Sq. Ftg.
I of Lot Cooeraga
# of Sbrtee
total Height
fopogttphg
soLAR ACCESS REQ.-dJOB NO.L-CO
U)Bedroorns:
-- Fees --
ITEM SQ. FTG x Value
Win
G@aae
CdrDort
Aecessoru 7kz z',f/&*
TOTAL VALUT
(DeLue)S.D.C. 7.5 c
S6.ra I
? -B7l lcot" eoi.d., ,:1
This pertrLt is granted ot the erpress eondttion tlat the said.constnrction
slall, in all reepects, confonn to the 2rdinozce adopted by the City of
Sprtngfield, i.nctuding the Zoning Crdinance, regulating the ccnstructicn
otd. use of buildings, urd may be suspended ot, reuokeC at cnA time upon oic-
Lation of any prcuisione of satd Otdinances.
*
Building Volue & Permit
Building PermLt
Iotal Clntges
State
No pereon shall consttaet, i.netal!, altet or ehange ang netD cr esisting
plunbirq or dtainage syttan in ahole or in patt, unleee euch pet,son ie tlte
Legal poseessor of a ,.talid plwnber's License, eucept tlut a pe?son may do
plmbing uotk to plope"tg uhich is ottned, Leased or operated by the cppli-
@nt.
Electricql Permit
Were State Lan tequires that the electrical uotk be ilone by an Elech"ical
Conttactor, the eleetr'ical portion of this pernit shall not be oal,iC until
the label lns been signed by the Electrieal Cont?actor.
,72
Plumbing
Signed:
NO FEE CHARGE erm irFi.rtt*es
Resid.zttti.a.L (1 bath)
Seuer
PlumbLng Permtt
State
7
Il au,/Ect end. Cit cui ts
Sentice
State
Iotal
CIIARCE
*
Mechqnicql Permit
Ecltatet HooC
llcodstote
Vent Fa
Permit'rssua.ce
Mechanical Pennt
-- ENCROACEMENT --
leqrLty Deposit
Storage
Mainterance
Pentrit
Cvtbeut
-
Sidandlk
Fence
Electrical la-bel
Reeeipt #:4
TotaL
f HAW CAREFULLY EXAMINED the eornpleted application for pernit, atd. do
heteby certify tlnt aLL information hez'eon i.s true and eonect, and. I
fuz,ther certify that any ard aLL uork perfomed shall be done in accot-
dance ,'rith the hdinances of the CitA of Spr"ingfield, atd. the Lane of the
State of 1regon pertaining to the wtk Cesq,ibed het,ein, cnd. tlnt Il0 )CCA-
PANCY wiLL be naCe of any lt?ucture uithout permission of the Building DL-oieion. f fw,ther eertif'g that otly contraetors cnd anplcyees uho are in
conpliance Dith 2RS 701-.055 uiLL be used on thie project
*TATAL AMOUNI DUE: *fl ?a.oa Signed Da
mr ?wi:
_ fnterLot
_ Coraer
_ Pothatdle
_ Atl-de-aac
httnzce B?U'S
lotal Chanacs
State Surehanqe
Mobile Hone
ru
" RESID*.lTlAL"Rcceict 4
SPFIINGFIEL.DAPPLICA?ION/PERIII?
225 North $th Street
Springfield, 2regon 97477
Butldtng Oitsision
726-3753
Job Locaticn:
Aasessors Map #L4 Tc,r lbt #ZqA-D
Svbdiuision:
Outzet:
Addtess:
ci
Additicn
Renoiel
tontrac--ors
GeneraL
P
ELectrLcaL
d,r-A OLLL
9o {3e
&,Ld
Deseribe llor,l<:
Val-ue
%rs,
Siared
Date of Apo ?tz+1 0
es
\ zip' o'"<o
Sottd .^L/W-Sr^U^,gLL
14eciwrziecL
Conatntction Leruiet
I-t is the responeibility of -the permit tollet to aee that all, inspections ee nad.e at the p?o?e" tine, that 22sfi arl,ltsss is vsa)rAi:J.y--tP at?eet, anc that the-penrit,c,atd ia Located at the frcttt of the prooerw.tEuiuing Diuioio- appro"*eci plan sitczl tenain on tle nunLdTnb- s;t"-'o.- o1l=;i;;'":'
!-1o!22q-lL!.95. !.lls-P-9$!0il.81=erys?:CALL726-3769 (reeorden) state you? City desionated job ntoxber, job aiiress, tyoe of inspec=icn
:_1ft".::-".i_L:!.en'gou -uiLL be z'eaciy fot inspection, cont?dcxc"s o-r a^rners-r,ct e Lni piaie nunbct,.' -p,"qr"""" reLei"l'ea bZycre'z:00 e:t
'nLL be nacie the sane dcy, ?equests ncae cftez, ?:00 az trill be nacie tne ncsx torkir1 i:;3.
Iour Cifu Desigra.ted Job ltunber fs 8to 5t.1Reati-roi fns:le:ticns--] srlx lus?ii?rol:
I eccaaxion, but
Io be macie after
prtar tc set up of
IITSULA.TIONIVA?OR BARRTER MSpsCTI)tt :
?o be maie aftet, aLL insulaticn ed.
required uapor barie?s @e in pkce
but befoz.e any lath, Wpswn baayi or
rnLL couering is applied, and. before
oty insulation is eoncealed.
DEi:SLITIA!] OR ):OV!) BI;,
Sanitaty setser capped .t p?op.ttJ- Line
Septic totk p;zped and fnlled ttth gza;sei
Pinal - hhen abcue itazs are eanoleted
and uhen Certclition is eor,plete'o, "trr"-tute moued ar.C. prenises cleanei up.
[icmes
Bloeking otd Set-up
Plunbing connectians -- aa/ter otL uatet
Electriccl Ccmnection - Blockittg, Eet-uD
anC plwnbing conneetions rn;st te qprc"^bC
befote z,equesting eleclrLcal inspeclio:t
Accessor.j- BuilCing
Final - After pcrch.es, skirting, decks,etc. ave cornpleled.
:--
-l
ailDEPSLAz pLuilslllc. tLEC?prC,1r, I
) lECll;.:;:C;-: ?o-'oe nacie beiot,e ang
L,orK Ls coucred.
I rc-ormc t rou::o,trrcn: ?o be naceI aiier xrenches are escauated dnd.
forms are enected, but pt'ior to
pouz"tr,g ccne?ete.l
DRYI|ALL TilSPEOION:
a7i6i atT ary,,titTis
?c be nade
place,
-f y1t pc-zrtc c ? i,LrJ: s r :t G I llEclr A..\ r c AL :
-)
'1o be nece prior xo insxallation of
ftoon insulaxion or decking.
1 posy lt:c zgil.:: To be nade pri.or toI instaliaxicn of floor insulation ordeckirq.
-
ROLIGT| ?LL?:31:]C. ELEC?PICAL P, I/IECH-lnttcm:ffi1-.urtil these inspectiors haue been:nvute anc, cDD"ote!--
I rr:.*rtcji enio" to plceir4 fccingI mcterials and. before franting inepeL-tion.
1 fnn:tile: Wst be requested aften
) app"ovri of rough pltn;bing, eiectni-cal & necianical. ALL rooiing
btacing & chittmegs, etc. trust be
: anpleteci, !1o ucnk is to be eon-
- cecled unttl this inspeef,ton has'been notie anC approoed.
trenches.
FII|AL PLU!,RIIIG
FIUAL AT'HAIIICAL
FINAL EEC?RICAL
SlWEP
?o be D?LO|' XO
but prior to cng taping.
\IAS2NRI: Steel Location, bond
beans, gvouting or oerticals in
aecozdotee Lrith U.B.C. Seeti.on
24L5.
I,IOODSTO'/E:
ccmpTeteA.
Aft ez, ins tall-a.tion is
CURB & APPRCACI| AP.dON: After formsee erecteC but priot to pouring
conc?ete.
SfDEIIALK 8, DRTIET\AI: Pot aLL con-
crete paoing uithin etteet right-
of-tey, to be naCe after aLL erca-
oating canplete & forn tntk & sub-
base truterial in place.
l
ll
l
?ENCE: hhen conplete -- tuouiCegate; or nooable sections thtough
P, U, E.
ALL projeet conditions, such as the i.nstallat{on of st?eet tnees, co:t-oletion of tie
required Tandsecpir4, ctc., naat be aatisfied before the BUILDIITG FIfAL canbe ?equested.
FINAL BUILDIIIC: The Pinai Buildittg Inaoeetion mtet be requesteC cfter the Final PlwbingElectrical, od, tleclunical Inspect;,ons ltsle been nade anri approveC.
'ALL ILANH2LES AllD CLEANOWS I,{UST BE AC1ESSTBLE, AhIUSAltZir TO BE tliDE t? t:O CtSr rO Crly Pzge 7 of 2
121)4
31, Qt
@,
Y
u
l
JOB NO.
Lot Sq. Ftg.
7 cf Lct Couerage
t of Stortes
Total Height
?opogr:thy
M;.!
SOLAR ACCESS REQ.-L-CO G+
:o-.c: acatDanct Gr?.
LCT TY?E
_ Intericr
Corner
_ Panhand.le
CuL-<ie-sac
i'irc Lac'"
TOTAL I',1LAE
--F
Building Vqlue & Permit
This pern*t is granted on the erp"ess condition tlnt the said-constntction
slnll, in all respeets, conform to the Crdirance edopted i2y the City of
Springfield, tncludtng the Zoning CYdinance, regulating tize ccnstraczicn
ord use of buildings, utd may be suspended ot reuokeC at cr:y t;.ne upon vic-
|ation of dng prcoisions of said 1rdinances,
frq2ppa)f/ar 2arr /rat*tr /+soa> 8'<€
2iX 6oo.-a /*cuc-'
81o5a1
-rhia<-
Euilding PerzrLt
State Sutcirwle
lotal Cltarges
?esiiaztial (1 bcti:)
Seucr
Reeeiot #
Plumbing Permit
No pe?eon shall eonstruet, inslall, alter or eiut4e cny nel cr e:istir;9t
plunioing or dz,ainage susten in uhole or in part, unless such 2erson is the
Legal possessor of a ualid plunbet,'s License, eucept tllat a peison nay do
pltnbing uork to proDe?tu uhich is ormed, Leased or opetate<i by the cppli-
cant.
Set
AcecssDIilous.
Raru'c
leat
htdt cr
llest
th
[,ot Faces -
X Valuc
3Gu-PLan Cheek Fee:-lz'Date Paid
L-R
I
Electricol Permit
Where State Las reouires that the eleetrical uork be done by an Ele=lvical
Cont?eetc", tize electrtccl cor+-ion of tizis pe?:nx shcll tat be talri until
the Label ias been signei cy tite Electrical Cotztracxor.
' i a,t / Ezt erd. C'-r cyi t s
?otal Chatces
L;:r;,ia IVlechonicql Permitt5
'.:itast Hooi
Jent Fot
,'cod.sto)e
ectitu
torcoe
'zinterc.r:,^
Tatal Cnanocs
i<ie-tali,.
Penit Issucnct
llee'rlanice?- Perrit
-- LivfiJACht:L.:1 --
P Lan Ez.anLner.
I HAW CAREFULLy EXL|'IINED the eorwleted aopltcation for perni:, cnd da
hereby cettify that aLL ir.fo:nation hereon is true anC ecrrect, anC I
further certify that any ard aLL uot'k perforned siull be dote in aecon-
dance'.rLth the Ordinanees of the City of Spningfield, anC th: Lc;s of the
State of 2regcn pertaining to the work Cescribed herein, cnd tiu.t l,l0 CCCU-
PANCy ttill be rad.e of any st?uctul,e uithott permission of the Building Di-
vision. f funther certif;i tiLat. o:1lu contraetors ai;"d enplcyecs uho are in
catpliance urth CRS 707.055 uiLL be used on this project
cbile Hcne
e
listu?es
c;;;:;:a
--it i.liL'i,)'i;z:'I
.. RESIE, NTIAL..
22s No,th stt itrnffPlrcArr,N/P,Rltrr
SprLngfield, )regon 97477
Building Diuision
726-37 53
SP'IINGFTELD
,,/ I
Q,?:lv
L
GeneraL
Date
L
Cotlrtrnetion Lenda .
I,lechanical
Flom n' n a,l Tn
I-t i8 thc rcepontibi_lifu of tlc pelnrit ho&a. b aee that alt inspectiow oe nade at ths prope? tine, th,at ecch addrees ie reaCobief.74-t!g stlee.t, @d tlat the-p*nrit-cazt ie l,xated at the fz,oni of ttte prop*ty.*Buitdiig Noision ayptw*ed pl'or shall remain on the eunlding site'at aLL' t{mes.-
P!1CEDI|RE;Fo\ IySPEC|ION.!?PTES?;CALL 726-3769(teeoz,det,) state your City designtted. job rum,ber,, iob aCCr.r;es, tgpe of inspeclicnt-equested ar'd' uhen you uiLL be readg for inspection, con*actor" o1, anrers naneL"a pu"" runber. -p.equeste rcieii;Za bZ1cre'?:00 an'*'LLL be made the sane dcg' "equeets nade after 7:00 an vLLL be nad.e the nect aorkirq day.
f
Job Locaticn:7-h
Aesessors Map #?as bt #AO
szbdioision:
Q,mer:
Addtess: 2 Phone:
zip:uL Z a
DeserLbe Hotk:
Foorypc44t*' OryL? PR,
?27= *pn*;e 5*-z
Date of eryLdootion 8-2-8 2 value 6@ t'
AiAiticn
RenoCeL
Page 7 of 2
SfTE INSPEC?f)N: 7o be nade aftez,
eacantation, but pr"tor tc set up of
forne.
TNSULA?TON/VAPOR BARRTER ilISPECLTgN:netlnr T4fAil hD l.AlEa
To be maCe after aLL ins-ulaticn and.
raquiz,ed oqor botiets @e in pl,aee
but before ay lath, Wpflon baatC or
tnLL cottering is applied, and beforeay insulation is concealed.
DRYWALL INSPECTTON: Tc be nadeaftet aLL CnguaLL i,a in place,
but prior to any ta?ing.
MASONRY: Steel Location, bond
beans, gtoutiq or uerticcls in
accorddtce vLth U,B.C. Section
24L5.
After instalTation is
CURB & APPRCACH APP2N: After fornsee erecteC but prior to pourirq
concrete.
SfDWALK & DRfVWAI: For aLL eon-
crete pauing uithin st?eet right-
ef-tng, to be nade aftet aLL ecca-
uating carplete & forn wk & sub-
base trutertal in plaee.
Final - lt4ten abcoe itans are ccntpleted
and uhen Cqtclition is eanplete op stntc-ture noued and. prenrtses cleatteC up.
Io be nade
are escaoated and.ate erected, but prior to
pour'tng ecnc-ret€
FilAL PLAAAINC
PINAL MECHANICAL
FINAL ELEC?RICAL
wcHt-t]e
&
ana
tr &
UI|DERGROUIID PLLIMPTNG. SIWEP, il,ATER,
DRAINAGE: To be rm.de pr"iot, to fil-
@-iGnehee.
UIIDERFLOOR PLAI,ETNG & MECHANTCAL :
To be nade.priot to installation of
floor. ineulation or decking.
I Posr No eeAM: To be made prLot, to' TGiallatGn oi floor insulaiion or
decking.
ROUGH PLOIBII,IG. ELECTRTCAL & MECH:
ANfCAL: No uork is to be couet,ed
.ffiiTthese irapeetians lwtse been
made and approoeC.
FIPEPTAqZ: Pm)or to plaeirq facingma-terials and before fronin4 inspee-tion.
PRAI.'IING: l4ust be requested after
approoal of rough plwrbing, electri-a,L & neclnnical. ALL noofing
btacing E ehinmegs, ete. truet be
i eonpleted. Ito uork ts to be eot-. cealed until this inspeetLon lns'beea made and apyrrcued-
llcmes
Blocking od. Set-up
Plwrbing connections -- aane? otd. r,tatet
Electnical Cqrnection - Bloeking, aet-up
ard plunbing connectione mtst be cpptcted
before requesting eleelrical insptecliol
Accessory Buildnng
Firal - After pcnckes.
etc. are completed.
skitting, decks,
!E!!L: When conplete -- ?tooiCe
gates or notsable sections thtough
P,A.E.
ALL project conditions, sucl', aa the i.nstallation of st?eet trees, eon.oletion of the
required Land.sceping, etc., rm,tst be satisfied before the BUfLDIN? FfNAL ean be z,equested.
n ?|NAL BUTLDTNG: rhe ?inal Build.ing rnepection nast be requested after the Pinat Ptunbing
\J Electrical, cnd Meelwrical Inspections lrqtse been made ard appt,ooed.
*ALL \IANECLES AND CLEANOIJ?e WS? BE ACCESSTBLE, ADJUST\\E\E rO BE MADE A? fiO cOS! tO env
404
' Iolt" City Desigr,ated, Job Nunbet, r", .*- S*
Sanitog saner eapped at propettyl Line
Septic totk V"rryed atd filled trith gz,a;sel
f1 r,tooosro,ts:lJ ccmpT;T;A.
I
tr
tr
fA,^,
z
JOB NO.SOLAR A:CESS REQ..r--co#
BeC.t'oottzs
Lace
{.
8 -ze-82
Date
f HAW CAREEALLY EXANINED t?e eornpleted appli.cation fon pennit, and. do
lereby certi.fy that aLL infotmation hereon is tmte and. correct, attd, f
ffinthet, cettify that any ard aLL uork perforned slnll be done 'in accor-
dance tLth the 1ydinances of the City of Springfield, and the Laas of the* State of fu,egon pertaining to the uork Cescribcd herein, and. tlut N0 occu-
PANCY LvLLI be nnd.e of any structu?e uithout permission of the Building Dt-tsision. I further certifti that otly cont?actore ozd enplcyeel dho are in
cotrpliance uith 2RS 701.055 uiLL be used on this project
Lot Faeee -
Setbacks Ileat
DT HOuse Carage Accesa.
No?th
East
South Iloodstoxe
Lot Sq. Ftg.
1 of Lot Caetage
# of Sturtes
Total Eeight
TopoSrqlA
TN? IWE
_ Interiot
_ Corne?
_ Pathandle
Cvl-de-eae l{est
-- Fees --
NEM .TJU x Value Building Volue & Permit
Thie per.ttrit is gtanted on the ecp?ess cotdition tlnt the sciid,_eonsttwctionslall-, in aLL rbapects, eonforn to the Ordirwtce adopted tiy the City of
Springfield, ineluding the Zoning Cvdinanrce, regulating the ccnstmtcticn
otd. use of buildi.ngs, utd nay be suspended ot reuokeC at du! time upon oic-
la.tion of dty prcoisione of eaid 0rdinances.
(ofa: /774at/a> ftn frorzP?Zre)>. Dg<yc,
SuBrotr Zazs F<S ForLP/z+fu ,/p)zraazc frYree.r y' ,@.*zr
74to7 Ta 6,$e-c 7/D4 -
&
TOTAL VALUE
S.D.C. 1.5 x
Building Penr|t
State Date Paid:
Iotal Clnrgea -o8 )
Signed:
N0.FEE CEARGE Plumbing Permit
Ilo peroon shall constlact, install,, alter or cltan4e anA ne?n cr ecisting
plwnbing or dtainage systan in uhole ot in pott, wless such pet,son is thelegal possessot of a ualid phtmber's License, escept that a pe"son tMV da
plunbing uork to propertA uhich is oltued, Leaeed or operated by the dppli.-
cant.
Ftbtutes
Resid.antial (1 bath)
Sa,ter
Plunbing Pemrit
State
NO.Electricol Permit
Where State Lan requires tlnt the electrieal uork be done bg an Eleett'Leal
Contraetor, the eleetytcaL portion of this permit slull not be oalil. unti.L
the Label has been sdgned by the Electrtcal Cont?actor.
Neu/Estend. Circaits
Setntice
L PermLt
L
NC FEE C!]ARCE Mechqnic<rl Permit
llcodstooe
Vent Fa1
kha$t ltooC
'^5
PermLt fssuqtce
Meclanical Permtt
lec4rity Depoait
Xtgtase
I,laintetranee
Petmit
Cvtbeut
Sidatalk
Pence
ELECT?LCAL LA0EL
Mobile llonte
TC}'J'' ,{.UOUN$ DUE.. {/z-ag
d,r,lzrormr-,f'-' /'
State Suychatae
Total Chanacs
?otal Changes