51037 n
� Lot No.
No. Street
APPLICATION FOR BUILDING RMIT
CITY OF CKo
File No.�
ary No.
i
Date ^196 �C
AppLico tion is here y ma a or
I a story, Type
to be occupied n' VVIr
in a ordance wito an, Plans nd Specification filed herewith.
Est ma a aloe of Improve a is E
FEES Plan Check E
Owner Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEES
Contr. Address
Phone, State License
® Approved
&IFI8,Gn%9 9664PL •NG & GAS PERMIT
Date a' 196 GAS FEE $
Qrl� Y FC P RTiNO PLUMBING FEE $
Contr. Address
;tlrn. 93- 01 * State License
' Approved
APPLICATION FOR APPLIANCE PERMI.f,.
Date 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
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
FINAL Date Inspector
Date Ins oe c tar
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH'WIRING Date ,Inspector
Date - Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
PERMIT FEE Motors Date Inspector
TOTAL FEES FINAL Date Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I LWTEIIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE MAIN DRAIN Date Inspector
Date Inspector
WATER SYSTEM FEE GAS PIPING
Data Inspector
GAS PIPING FEE FINAL
O� Date Inspector
PERMIT FEE MISC -
O Data 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
INSPECTED
Date Inspector