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BUILDER'S PERMIT & INSPECTION RECORD
(See Instructions on Attached Sheet)
THIS CARD MUST BE POSTED AT CONSTRUCTION SITE
CALL 385-2294 FOR INSPECTION
Pewit Number 9204-17 Issued 4/23/92 Treas. Na.
sob Address 911 53rd Street Zoning R-1A Type 5-N Dccuoancy R-3
Nature of Mork Dse of Huiidinq(s) _ Dwel l ina
Omer Graham ur a in Contractor Same as Owner
*NEH ENERG'I CUDE* ****PUBLIC WORKS REQUIREPIENTS****
1. GROUNDWORK: Plumbing Inspector Date
f'
2. FOOTINGS/SLABS: Setbacks` Farms- Reinforceme~_ Slab_
r~C ~~:~~ K qty (Y (.Ib r o
C
InsaeCo~ ~ ~ Date ~ ae ;~
3. FOUNDATION HALL: Forss L" Reinforcexnt ~ Heather proofing-
Vents Cravl Acess_-= ~~
Inspectmr Ddt2
~,, a. FLOOB FBAlQNG:: Girders- Toists_ Bridglnq Shield Onder Posts- Positive Post/Girder Conmect
Girder/Concrete-i/2"_ Treated Hood to Concrete- Anchor Holts r/HasEers
Inspector Datr
5. PLONBIt(G: Drains- Vents Traps- Clean-outs - Rater Supply ~ ' Gas Supply
Inspector ~ V ~ Date ~ ~ t ~ j Z -
6. 1DN.5AlFiC3L: Furnace- Exhaust- Heat Ducts- Inspector Date
i• FBAIIING: Halls- Ceiling Roaf Vents Hindovs
in,Idall Penetrations
t. .., _~r~~ , h
i Chimney Straps- Inspector 4 Date- `f -'-r t
"
8. INSULATION: Floor _ Hall Ceilinq_ Baffles -
Inspector- ,'' ~ ~ ~,%
Date y r~s~2_
9. DBYHALL NAILDIG: Halls - Ceiling- ;` Inspector ~ ~\' Dat
~ ~ - 4'~
e
4
10. DRAINAGE: Inspector Date
11. FINAL INSPECTION: 8uildinc~_~ Plumb. ~~ Bech/heati~ Smoke Det. ~,?a House Ho. L-~'
~~ ~~~~ I~ ~,/~ Date
~/-T8_'~_v~g2~-5555 :~~~. 1~-H;
Ca11 48 hours bef'oz-e you dig
for ut i 1 i.ty l i n e 1 oc a t a s