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City of ______________________________________________________________________________________ Address all Communications to Department of Building Codes. Meeting Date: ________________________________________________________________________________ Petition must be on file at the office of the Board of Appeals: ______________________________ one week before meeting date. Approvals on proposed construction are null and void unless permit is obtained within 6 months. Address of Job: No. _______________ Street __________________________________________________ Legal Description: Lot________________ Block_________________Tract____________________________ Between Cross Streets: _________________________ and _________________________________________ Owner’s Name: ________________________________________________________________________________ Petitioner’s Name: ___________________________________________________________________________ Petitioner is: Owner: ________ Contractor: ________ Architect: ________ Engineer: ___________ Address of Petitioner: No. _______________ Street ___________________________________________ Phone No. of Petitioner: ____ ____ ______ City: __________________ P.O. Zone _________________ Status of Job: Not Started: __________ Under Construction: __________ Finished: _____________ Permit No.: __________________ Plan Check No.(if permit has not been issued) _________________ Specific ordinance modification desired: _____________________________________________________ ______________________________________________________________________________________________ (Additional sheets or data may be attached) Date: __________ Owner Signature: ____________________________________________________________ (It is understood that only those points specifically mentioned are affected by action taken on this appeal.) Plot on Reverse Side Required for Yard ModificationGeneral Inspection Methodology & Procedures
FPT 102 - Fire Prevention and Inspection // Instructor: Kevin M. Kolb Slide #12