FILE 51114 /OV Lot No.
0000
No. Street
AP LICATION F DING PERMIT
CITY OF TING
/ File No.�
Sanitary No.
Date 19
Appli att hereby m def a permit to
a story, Type
to be occupied only os
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES Plan Check $
Owner Address
Contr• Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEEf
Contr. Address
Phone State License
0 —
Approved
AP fa*BgllgOR M GAS PERMIT
Date 196 +GAS FEE f
PLUMBING FEE $
CITY 'OF' C ,ERTINO _ `-
Contr. Address
Phon. State License 91149
`�'• Approved WILLIAM 0. S5NEVI(:4I
APPLICATION FOR APPLIANCE PERMIT
Data 196 FEES
Contr, Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Dote Inspector
FRAME
Do to I ns pe ctor
LATH & PLASTER
Date Inspector
FINAL
Date Ins De ctor
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Dote Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Dote Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING 8 GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I L,6TERIAL
WATER SYSTEM SIZE IATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Dote Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE MAIN DRAIN
Dofa Inspector
WATER SYSTEM FEE �� GAS PIPING
/ Date I for
GAS PIPING FEE FINAL
Data Ina psctor
PERMIT FEE MISC
Date nspector
TOTAL FEE �- 'MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
CAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector