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
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Applic io here y deKaWto story, Type
to he ocV!d
s '
in accordal with Plot Plan, Plans and Specification filed herewith„
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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