HomeMy WebLinkAbout058-770-047E.N. USE ONLY
Plot Plan Artachad
Floor Man Attachad
Sam to S.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
L�jkj,Q,, 42 C,
Owner Location AP#
Plan Approved for: Sewage DisposaK" nPrivate Well"C'
Water SuRply: Public
Clearance for dwelling. Other QXWAL)-O)��
Hold final for:
Final cl��ance O.K. fo
NOTE: '-yW))0,,A4 L -n
Environmental Health Speciali.st
8/96
Date
E.H. USE ONLY
Rol Plan Anachad N
Flow Man Attachad---
Seal to
TO: Building Department
FROM: Environmental Health
tSE C T: Sanitation Clearance
-N
0 n r AP*
w r Location
0
. �i Water Supply: Public Private WeXII
Plan Approle %orr: Sewage Disposat ��
Clearance for wellinq. Other 4– I�A IVA4, J/-)Jv A /9) P t ) ny
Hold final for:
Final clearance O.K. fo
NOTE: A, r AWN -5 WMAI A
JI 4-7� -��
M/
Environmental Health Specialist
8/96
— CXV I / j
-or
Date
REQUEST�FOR INSPECTION
Location:
Call Ll
Permit No.
Phone:
BLDG.
PLUIVIB/IVIECH
ELECTRIC
M.H.I./M.H.U.
�IrSP �EC T 10 �N
'Form
Rough
Rough
Fnd/Ftg
Frame/Underfloor
Top Out
Temp. Service
Job Status
Stucco Lath
Gas Piping/Test
Main Service
Corrections
Permit Renewal
Stucco Brown
Temp. Gas
Underground
Final
Woodstove
Sewer Piping
Well Circuit
Brace Panel
Water Piping
POOL
Insulation
Shower Pan
Nailing
Gunite
Demo
Bonding
Corrections
Corrections
Corrections
Light Niche
Final
Final
Final
Corrections
Ready for
------
6 Final
Ic
inspec on:!�L
Date: Comment: