NO PERMIT NUMBER (2)-V ej ' �� Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CrUPER 0
File No. / O
Sanitary No.
Date 196
Applicea is here ade Omitstory, Type
to 6e occupied only s
i ac I
da a 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 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Data 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
a02 APPLI TION FOR APPLIANCE PERMIT
Date 196 FEES
Cantr. 12 ddress 2VO f
Phone ��� State,License a[ a Z o ,�A
Approved ✓A'K -- i�
Applicants agree not to violate any of the
Workman's Compensation Laws of the
Slate of California
RECORD OF INSPECTION APPROVALS '
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
. Date Inspector -
FINAL
.Date Ins Dector
ELECTRICAL
.OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
`
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
H.P, CHARGE FIXTURES Date Inspector
Data Inspector
PER FEE Motors I '
Dafe Inspector
TOTAL FEES FINAL .
Date Inspector,
PLUMBING & GAS
MAIN DRAINSIZE I I MATERIAL
STORM DRAIN I SIZE TERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do to Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER'SYSTEM PEE GAS PIPING
GAS PIPING FEE FINAL Date Inspector
Date Inspector
PERMIT FEE MISC
Date Inspector
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
GAS DRYER PERMIT FEE
FLOOR FURNACE .TOTAL FEE 3 ZS
INSPECTED
Date Inspector