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NO PERMIT NUMBER (2) Lot No. No. Street APPLICATION FOR BUILDING RMIT CITY OF CU TIN File No. / nitary No. Date 196 Applica 'on is reby m for ermi to a story, Type to be occupie on Ly s in accordance with Plot plan, Plans and Specification filed herewith„ Estimated Valve of Improvements $ FEE$ L Plan Check $ Owner Address Contr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 GAS FEE $ PLUMBING FE�EE $ Contr. res �7'�c� p ' / �✓'- V Phone T State License dq /e 7YS� 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 - PAD FINAL GRAD)NQ F)NAL RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION Date Inspector UNDERFLOOR Date Inspector FRAME Date Inspector LATH & PLASTER Date Inspector FINAL Dote Ins oe ctor ELECTRICAL ,OUTLETS SERVICE SIZE SWITCHES UNDERGROUND Data Inspector RECEPTACLES ROUGH WIRING Date Inspector FIXTURES FINISH WIRING Date Inspector H.P. CHARGE FIXTURES Date Inspector PERMIT FEE Motors Date Inspector TOTAL FEES FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE TERIAL WATER SYSTEM SIZE iTERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Inspector MAIN DRAIN FEE ROUGH COMPLETE - - - Date Inspector - STORM DRAIN FEE MAIN DRAIN a I WATER SYSTEM FEE GAS PIPING 3� Date Inspector � GAS PIPING FEE � FINAL Date Inspector PERMIT FEE MISC 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 Dote Inspector