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NO PERMIT NUMBER (30) /0 �. ._ Lot 2 - 6 7t r / No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUP.ERTINO Sanitary No. File No. Do to 196 Application is hereby made for a permit to a story, Type to be occupied only as in accordant with Plot Plan, Plans and Specification filed herewith„ Estimated Value of Improvements $ FEES Plan Check b Owner Address Contr. J`• — _t--J 9::n 'Address Phone �Ilrypi State License=Ad 9'2.,Z11 ._ Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Cont,. 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 Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR FRAME LATH & PLASTER GRADING FINAL FINAL BLDG. ELECTRICAL DATE INSPECTOR MISC. UNDERGROUND ROUGH ROUGH WIRING FINISHED WIRING FIXTURES MOTORS FINAL PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REQ. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. FINAL GAS FINAL APPLIANCE DATE INSPECTOR MISC. MISC MISC MISC