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51132 // Ip (p /I (JC_hh1l�>K{� �1wy�.Z/ Lot No. No. Street APPLICA/ONOR DING PERMIT TINO File No.Sanitary No.Date � 196 `Application is h r ymaeforaprmit t a story, Type to be occupied only as accordan a th Plot Plan, Plans and Specification filed herewith,. 4- t- Value of Imp e', b FEES Plan Check E Dwner Address t Cont,, Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Cont,. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 �- GAS FEE $ PLUMBING FEE $ Cont,. _ - Address 1 .2,- �� 7p XT�O Phone ��/ �— Q / / State License t�6 Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ Contr. Address Phone State License Approved Applicantsagree not to violate any of the " Workman's Compensation Laws of the State of California G RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION Date Inspector UNDERFLOOR Date Inspector FRAME Do to Inspector LATH & PLASTER Dote Inspector FINAL Do to Ins De ctor ELECTRICAL ,OUTLETS SERVICE SIZE SWITCHES UNDERGROUND Date Inspector RECEPTACLES ROUGH WIRING Date Inspector FIXTURES FINISH WIRING Date Inspector M.P. CHARGE FIXTURES Date Inspector PERMIT FEE Motors Dote Inspector TOTAL FEES FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I I MATERIAL STORM DRAIN SIZE I 12iii.ATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE �� PARTIAL ROUGH Date Inspector MAIN DRAIN FEE - ROUGH COMPLETE Data Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE X04 GAS PIPING Date Inspector GAS PIPING FEE FINAL Date Inspector PERMIT FEE � �� MISC ,! Date Inspector TOTAL FEE � /O�o 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 GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Data _ _ Inspector � \ J &S'3T;THE VVORKMEN*S OF CALIFORNIA. S ƒ > 0 2 nom. = x / { , \ e In \ ®*01 0 } > ) c E« ƒ ] 0 Z0 \ 0 M { o ■ , { { © ; ) R� \§ } { ` M ) § 0 x . \ ) \ � / � . • _ . � NUMBER IRWIN DRAT UNITS FEES UNITSI FEES Water Hente Size Water CTO-sets Material Aath Tubs To Curb _ Showers To Prop. Line Lavatories To Existing Kitchen Sinks Not Conn. Dish Washers Sewer Boxes Waste Disposals agh Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Com . Sink rays To Curb _ Dental Units _ Drinking Fountains r+ oo Drains WATER SYSTEM _ oppers ize Restaurant Sinks Material San raps TOTAL FEES Urinals Fixture Fee' ..� rea rains Main Drain Fee aterLeaders Storm Drain Fee Q Sprinkler Valves Water Sys. Fee Permit Fee TOTAL / /e--j TOTAL FEE R9CORD OF INSPECTION Underground Rough... Partial Rough.. Rough, Complete.. Main Drain Final...