Page 58 - permit book

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Buildin Safety Use g Safety Reviews

REVIEW(S) PERFORMED

 ELECTRICAL  MECHANICAL  PLUMBING
INITIALS / DATE INITIALS / DATE INITIALS / DATE
BUILDING REVIEW COMMENTS

ELECTRICAL REVIEW COMMENTS
STAFF

PLUMBING REVIEW COMMENTS

SAFETY

MECHANICAL REVIEW COMMENTS

BUILDING Description of Work

Use Group Approved By: Date
Plan Review Fee ________________________
Construction Classification

Building Permit Fee ______________________ Occupancy Load
Title