NO PERMIT NUMBER Lot No.
No. Street
APPLICATION FOR BUILDIN RMIT
CIT OF C ER I
File No. 4 /-211
1 anitary No.
Date 1I 7 6 r.
W. pplecation is he ma a or p t to
Va story, Type
to he occupied only ns
in aac lance'with Plot Plan, Plans and Specification filed hermuith,
Estimated Volvo of Improvements $
FEES Plan Check $
Owrror Address
v
Canty. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
phone State License
Approved
gg APPLICATION FOR PLUMBING & GAS PERMIT
Data d 196 GAS FEE $
> PLUMBING FEF $
Cant, Address
Phone � —j/ State License w
Approved L(1
1-7
APPLICATION FOR APPLIANCE PERMIT
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
PAD FINAL
RECORD OF INSPECTION APPROVALS GRADING FINAL
FOUNDATION BUILDING _
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Date Inspector
FINAL
Date Insoector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
FIXTURES FINISH WIRING Date Inspector
H.P, CHARGE FIXTURES Date Inspector
Date Inspector
PERMIT FEE Motors
TOTAL FEES FINAL Date Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE '•4TERIAL
l4 _
WATER SYSTEM SIZE 'nATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE a-s
� ' PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Data Inspector
STORM DRAIN FEE MAIN DRAIN
p-o Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE - FINAL
p-o Date Inspector
PERMIT FEE � MISC
ll//O-O Date Inspector
TOTAL FEE 7 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 Ins pe c for