NO PERMIT NUMBER -CITY OF CUP1 RTINO .. ^' �"
BUILDm( DnItiIoNrt PERMIT CONTRACTOR--INFORMATION:
NIUII DING ADDRI NN , �'IWy /hl� I'fOt 111'Nn, M N
1.030W.PHAR LAP OR FRIA
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CALL 77-3W MONDAY-FRIDAY 24 HOURS
k v i POUNDAI'ION/I'115RSlf l.fi5. BEFORE'REQUIRED INSPECTION.JOB ADDRESS C] SFUWI. G KITCIIIiN REN
AND PERMIT a ARE NEEDED WHEN PHONING. ❑ ADDITION ❑PLUMBING RE
UPER GROUND ❑ MUIT1-UNIT ❑S'I'RUCIURAL
PAU%SEI'BACKCIERT Rf:SIDEN'1'IAL_COniM1ERCI,NLURIIER_ MODIFICAIIO
w r GARAGE SI.ABS/PRFGIJNrDE ❑'INTI:IHUIi ❑CIIINI NIEI'REP
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xir ❑ YES 11 It k,,w,dth.naCl:o.Ae,nil a.mmbl;Fm�nimJ. I4A"I'II KEM1IOfJEI./I(I>I'Alli❑ UENIULITION
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❑ NO Initial lJ.li.U.N
— ELf:CI'ItICAI.
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PLUMBING ❑ 'IFNAN'I' 0 FOODSERVIC
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MECHANICAL LAICAL INIPIN)VEMiEMI'
FLhC'IRICAL 'I'n Gc rcumrnl To he Ixwin.d ❑ Urn Elt _
FRAMING VENTS
INSUI.Al ION,
PLACE NO SIJBrLOOR UNTIL ABOVE HAS BEEN SIGNED 'I'1'Ply OF ROOF COYF:ItING
ROOF SHFATI I/DIAPHRANA
PLUMBING, ❑ Built-Up R;rol ❑ Buill-Upi(;)l
TUBS.0 SHOWER PAN ❑ AaphaB Shingles ❑ A..phah Shooglea
NiPCII.\NIC.\I. ❑ \Ynn1 Shake. Y ❑ Wwxl Shake.
F.I.ECI'R ICAIIPUUL BOND ❑ \Veod Shingles ❑ W..A Shingles
FRAMING/STAIRS/E.itiGRESS LI Olu,lSpccll}9 ❑ Olhcl'(Sp,o I.,
INSl1LKrION/VGN'1'lls\'LIDS No,i&LC.B.O.Rcpoo No.
�J COVERN0 WORK UNTICABOVE HAS BEEN SIGNET) — — - Pm\h Ie Nllgr:Imiallaticn Slxs. -
EX'IERIAL SHFAR/ITOLD IF)WN
IN 11:1001Z SHIEAR/IIOLD DOWN \
SHEl;IRDCK/SIB:1:1'r,OCK SHEAR INNATCI]O,'N SPECIAL INSPECTION IZ I3QUIRL"D O unu: 1
EX'I'fItIOR LATIOW-SCREED
SHOWER Ln,il
',NO!PApfioRyLASTERIIIM1'IL'AW)V L'HAS'13EI?N.SIGNED. C:`
SCBAICH COn'I'
SHWERAVATER
'I'ENIFORARYAPi'ROYA S J
OCCUPANCY
'rINACS _
Z PLANNLNU 777.7708
7 Q GAS'I EST .
F GRADE W",777-7754) '
C 'FIRE
0. C
D Z HANDICAP
U p IiI.EC'I'RIC\L .
OF PI.IJMBING .
} NIECIL\NCAL
I"' V FNFR(;)'
V Z VISUAL FINAL ONLY
BUILDING
`OCCUPANCY(Jh BIJILUING IS NOT PERMI'I;I'ED� -'
IJMI'II.BUI_CDING FINAL.IS$IODNiEBY B(11LDING' t
CHRTIPICATF 01=OCCUPANCY❑
P11 E,INSPEC'IION: PLYWOOD: N-1'RO'RFAS� n
�{ INSP. U.\„i INSCDA'PIi� � NSP._J/({WV_—
'I'li,\li OFF INsrl'"PION: IfATI'l_i FINAL:
INSIt_ __ D;\'I'1: � INSI'. UAI'IE INSI'.
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION