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<br />/J / f'V <br />(~o. 4f A-dJ "., -lfJ-i.r:> <br /> <br />BUILI:?,!y~9HY~L~RM!! N~ -60098 <br /> <br />(813) 788-6611 <br /> <br />Date <br /> <br />/ - ;22~L~ <br /> <br />f6 -. crv <br />BUILDING <br /> <br />,;LD. t7D <br />ELECTRICAL <br /> <br />.;2P. Cro <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />Sewer Conn______. <br />Water Conn: ____ <br /> <br />Property Owner: r/3~ ~ <br />Job Address: ;; 7 ~ ': ~ ;:]d <br /> <br />Parcell.D. # <br />Zoning: Energy Code: Radon Gas: <br />Description of Work ~J~~ ~~ A.A~~ ..A d..A.Lt7A--t <br />" <br /> <br />Water Meter: <br /> <br />T.I.F.'s: <br /> <br />t:?..;f'U" _ , <br /> <br />NO OCCUPANCY BEFORE C.O. <br /> <br />FINAL <br />C.O. <br /> <br />2/ll/Q') <br />D.UE <br /> <br />Complete Plans, Specifications and Fee Must Accompany Application. <br />All work shall be performed in accordance with City Codes and Ordinances. <br /> <br />[lATE <br /> <br />Inspector g; B <br /> <br />City License Registration # <br /> <br /> <br />r75!~~7~ <br /> <br /> <br />BUILDING <br /> <br />J~Y9 <br /> <br />Permit Fee <br />Signature <br />Company <br />Address <br />Telephone# <br /> <br />~~'~ <br />~ '" ( ~ql- <br /> <br />Valuation or <br />Contract Price <br /> <br />/.f:>-; ~3 b. trz/ <br />, <br /> <br />Aa$4L- ~ /2 <br /> <br />~ !~/yyp <br /> <br />PLUMBING <br /> <br />SLB ~l...q Ia Bi>8 <br />Tub Set <br />Water <br />Sewer <br />Final <br /> <br />MECHANIC)~L <br /> <br />ELECTRICAL <br /> <br /> <br />Driveway <br /> <br />~~,,_c;1lc 606 <br /> <br />Tp. Servo <br />Rough In <br />Meter Can <br /> <br />Const. Pole <br />Pool <br />Pre-Meter <br />Final <br />J;~~lf rtfC l>0f!; <br /> <br />Breakers <br /> <br />Ducts Insl. 0 <br /> <br />Ftr. <br />Pre SLB <br />Lintel <br />FRM, <br />Insul. CL <br />WL <br /> <br />CompressOl" <br />Final <br /> <br />REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a <br />charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: <br /> <br />a. Wrong Address <br />b, Condemned work resulting from faulty construction. <br />c. Repairs or corrections not made when inspection called. <br />d. Work not ready for inspection when called, <br />e. Permit not posted on job site. <br />f. Plans not at job site. <br />g. Work not accessible. <br /> <br />The payment of inspection fees shall be made before any further permits will be issued to the person owning <br />same. <br /> <br />'\J <br /> <br />tlECllARICAI. <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />......~.~~~..~............................ <br /> <br />~~ &,~.(la5~AIIY '1?2J. ~~~ / <br />I . State Cert. or Regist. .. . <br />,. -~~ City License Registration f I :t 9 J.- <br />.......................................... ; <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />v- <br /> <br />Signature <br /> <br />APPLICAnOR APPBOVBD BY <br /> <br />PBRHIT OFFIC~. <br />