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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
Permit Number 9 212 - 2 6
Job Address 2 5 5 P o l k
Nature of :drk R e m o d e l
Amer W. .lames Wi 1 son
*NE41 ENERG ( CDDE* *** P E R f•1 I T I S
UNTIL APP
!. Gc".OUNDWORE: Plumbino
Issued 1 2/ 3 0/ 9 2 Treas. Ha.
Zoning C I I I Type V- N Occuoanci B- 2
Ose of Buiidinq(sf Ba!:erY
Contractor O w n e r
FOR INTERIOR 110RK ONLY:- NO EXTERIOR WORK
ROVED 8Y F!ISTORIC PRESERVATION COMMISSION***
Inspector Date,
Z. FarPINGSiSL;&S: Setbacks Forrs_ Reinforcemeht_ Slab_
Inspector pate
3. FOUNDATION GALL: Fora- Reiaiorcenent_ Iieetber Proofing,
Vents- Crav1 Acess_ Inspector Data
~. FL00$ F$AHING:: Girders- Joists Bridging, Shield Dnder Posts- positive Post/Girder Connect-
Girder/Concrete-l/1"_ Treated Rood to Concrete- Anchor Hosts v/4fashers
Losnector Date
5. PLDIBING: Drains t! Vents v"Traps ~~ Clean-outs_z-dater Supply /~ Gas Supply`
Inspector ~s Date ~ r
6. HECBANICAL: Furnace- Exhaust- Heat Duc`S_ Inspector Date
7. F$AI[ffiC: +1lls '~'Ceilinq ~~ Roof Vents 'dindovs '"~ ,~/~~ w' ~ ~/~
In Ball Penetrations- c~immey Straps- Inspector /'! J .Date •L AT/~^%7
8. INSULATION: Floor _ Fall ~ Ceiling Baffles- J7~la ~ -~L `"p~ ~'~/
Inspector ~ ~~ Date `'~~'
~~ ~R ~ l~:C~ ~
4. D$YIiALL NAILING: halls- Ceiling- Inspector i~-- ' Date { :'~`~%;
10. D$AfIfAGE: ~ Inspector Date
ll. FINA1. IHSPECfIOH: Building Plumb.' Neck/heating ~ Spoke Det. ~ House Na.
~~ n
Inspector .1 ^ ~ ~ Date' ' ~ ` ''
Ca11 48 , 2zours before you. dig
for vt-t i t s ty 1 i n n 1 oc a t e s
]..-800-4Z4-5555 ;,.I