HomeMy WebLinkAbout058-770-006TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
E. . USE ONLY
OP'L Y
Flat Plan Attache
Floor Ran A c7ftad�j
Sant to G.D. A
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Owner Location AP#
Plan Approved for: Sewage Disposa� Water S ly: Public Priva e Well -
Clearance for— dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
FARN
0
Date
REQUEST FOR INSPECTION Permit No.
Location: /�71'5
A
Owner: roto
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Form
Rough
Rough
Fnd/Ftg
Frame/underfloor
Top Out
Temp. Service
Job S
S�
Stucco Lath
Gas Pipingrrest
Main Service
Corrections
rj, �*Renewal
Stucco Brown
Temp. Gas
Underground
Final
n f�
y U�'I't
, erify Utilities
,LV
Woodstove
Sewer Piping
Well Circuit
ite
Brace Panel
Water Piping
POOL
-E&ULobi
Insulation
Shower Pan
Nailing
Gunite
Demo
Bonding
Light Niche
Corrections
Corrections
Corrections
Final
Final
Final
Corrections
Ready for
Final
Inspec. n.
0
Date: Comment: