NO PERMIT NUMBER Lot No. //q5
T�
No. Street
FOR BUILDING PERMIT
YNOF BUILDING
e,,raA1fLI1ATI(:IN
WFile No.UL1e1964 W
Sanitary No.
Date ,NO
y' ' , 11dA
Application is hereby� made for a permit to
stor Typc �✓
to e occupied only as
it accordane,c r ith pla Ian, plans and Specificatio fled ereivith.
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Estimated Value of Improve mems b �d0
FEE$ 611Plan Check
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Ov,r.ew Address/a:-��-�Q���
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ont,
Address
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Phone State Licen e .S 5-7
Approved
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APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
t
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the,
Workmen's Compensation Lams of the
State of California
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date oz Inspector
LATH & PLASTER
FINAL
'0 D.;Ab,
7
Inspector
Date inspector
ELECTRICAL
.OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
FIXTURES FINISH WIRING Date Inspector
H.P. CHARGE FIXTURES Date Inspector
Data Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN SIZE I LLITERIAL
WATER SYSTEM SIZE I M TERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Ins pe c for
STORM DRAIN FEE MAIN DRAIN
WATER SYSTEM FEE GAS PIPING Date Inspector
GAS PIPING FEE FINAL Date Inspector
Date Inspector
PERMIT FEE MISC
D
TOTAL FEE MISC ate Inspector
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