Fillable City of Tuskegee DEPT. OF BUILDINGS, CODES & (City of Tuskegee)

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City of Tuskegee DEPT. OF BUILDINGS, CODES & (City of Tuskegee)

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DEPT. OF BUILDINGS, CODES & INSPECTIONS DIVISION
City of Tuskegee
APPLICATION FOR PERMIT
No. _________________
TO INSTALL HEATING OR AIR CONDITIONING Plan No. ____________
Zone _______________
1. Name and Address of Applicant 2. Owner Information and Location of Job:
_______________________________________________ _____________________________________________
_______________________________________________ ____________________________________________
_______________________________________________ _____________________________________________
Phone # ________________________________________ Phone # _____________________________________
3. Class or Type of Building (Residence, Commercial, Educational etc.): _____________________________________
a. Alteration ____________
4. Type of Work (Choose One): b. Repair Work ____________
c. New Work ____________
5. I HEREBY AGREE to act under permit applied for in full accordance with all Laws and Plumbing Ordinances of
the City of Tuskegee, and in accordance with the attached Plans and Specifications, and I agree that no work will be
done contrary to the same, else the Permit issued hereunder to be void.
Date: ____________________________ , 2 _______ Signed: ____________________________________
______________________________________________________________________________
6. Plans and Specifications:
Heating _________________________________ B.T.U.
Air Conditioning __________________________ H. D.
Total Cost of Job $ ____________________
ACTION UPON APPLICATION BY BUILDING OFFICIAL
THE FOREGOING Application is approved and the same is hereby issued as MECHANICAL PERMIT NUMBER
________________ subject to inspections and approval as work progresses.
Date Issued: _________________________ , 2 ________ Signed: ___________________________________
Building Official
REPORT OF INSPECTIONS
1. ________________________ Date __________________________ , 2 ______ Signed ___________________
2. ________________________ Date __________________________ , 2 ______ Signed ___________________
3. ________________________ Date __________________________ , 2 ______ Signed ___________________
REVISED 07.05.2011
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City of Tuskegee DEPT. OF BUILDINGS, CODES & (City of Tuskegee)

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Completed 16 July 2020

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