NO PERMIT NUMBER (2) Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CIJ.PERTINO w ,
Fila ....r/OW
Sanitary No.
Date 196
Application is re40rto
story, Type
to he occupied only ns
ccordance with plot Plan, plans and Specification filed herewith,
Estimated Value of Improvements $ - -
FEES Plan Check S
Owner ��ess
Contr. .Address
Phone State License
Approved
r
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING B GAS PERMIT
Date t o7� 196 a— -GAS FEE $
PLUMBING FEE $
0611Pr. _�%6'7ti-..-Q.-.tee--Ute L61-.^.-C.l" 'Address / 0'L5 Z i .E�✓ bit-c..y
Phone - t; S 3 ' `7 7 .S— State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State, of California
i
Y PAD FINAL
GRADING FINAL
RECORD OF INSPECTION 'APPROVALS
BUILDING
FOUNDATION
Date .Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Int peetor
LATH & PLASTER
Data Inspector
FINAL
Date Insoector
E-LECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES. FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Dote Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE ITERIAL
ERIAL
WATER SYSTEM SIZE
O e
TOTAL FIXTUR UNDERGROUND
FIXTU E FEE PARTIAL ROUGH
Dote Inspector
MAI AIH FEE ROUGH COMPLETE
Data Ins ctor
STORM DRAIN FEE MAIN DRAIN
Data F- 1
eetor
WATER SYSTEM FEE G S G
f apactor
GAS PIPING FEE FINAL
'Vote Ina peetor
PERMIT FEE �'��''• MISC
/
Data napector
TOTAL FEE 6�! MIS
Dale 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 r TOTAL FEE
INSPECTED
Dote Inspector