NO PERMIT NUMBER ///s� I ✓ L�� //,�fiC�LJ w��. Lot No.
No. Street*
APPLICATION FOR BUILDINGRMIT
CITY 0F''CUP TI _
File No. /O
Sanitary No.
Date 196'L'
Application is h r y made,for p mit to
a story, Type
to be occupied n ly s
in accordance with Plot Plan, Plans and.Specification filed herewith,
Estimated Value of Improvements $
FEE$ Pion Check $
Owner Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 196 FEE$
Contr. Address
Phone State License
0
I
Approved
Aeft:123 p�I¢pLG ✓3< GAS PERMIT
'1�179
Dato 196/ [ GAS FEE $
g_��„Q•U�_ CIP _RTINO PLUMBING FEE t
Contr. �^�"J /"¢'. e4 Address 17 7
Phone O State License elm O
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
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
Do to Inspector
LATH & PLASTER
Date Inspector
FINAL
Date Inspector
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
FIXTURES FINISH WIRING Date Inspector
H.P. CHARGE FIXTURES Date Inspector
Date Inspector
PERMIT FEE Motors
Date Inspector,
TOTAL FEES FINAL
. . Date Inspector,
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN I SIZE I LaiTERIAL
WATER SYSTEM SIZE IATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Do t9 Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date
GAS PIPING FEE `-FINAL
Date n pe czar
PERMIT FEE .MISC
Q7 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
INSPECTED
nat L._