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NO PERMIT NUMBER (2)&:K4 V / /l Lot No. No. Street APPLICATION FOR BUILDIN PERMIT CITY O01 RT /. File No. J oo.S Sanitary No. Data 196 r Applic io here y deKaWto story, Type to he ocV!d s ' in accordal with Plot Plan, Plans and Specification filed herewith„ r ' Value of Improvements $ FEES Plan Check $ Owner Address Contr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Cont,. Address Phone State License ® spa Approved J4r0%?A2I1N1§b4 P ING & GAS PERMIT Date 196 GAS FEE $ ITY OF CUKRTii� 0 PLUMBING FEF $ 40 0. Phone Zt If State License / ` i foe Q-1 L Approved WILLIAM [). E 2:N[VICH 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 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 WIRITIG 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 I I MATERIAL STORM DRAIN I SIZE I LIMLTERIAL WATER SYSTEM SIZE IIERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Date Inspector MAIN DRAIN FEE ROUGH COMPLETE Date Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE GAS PIPING Date Inspector GAS PIPING FEE FINAL - Date Inspector .PERMIT FEE L� 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 Insoector