NO PERMIT NUMBER (2) Lot No.
No. Street
APPLICATION FOR UILDING PERMIT
CITY OF ERTINO // ,t
File 1462 V�7
Sanitary No.
Date 196
A plicat n ' hereby e a a perms to
a story, Type
to be occupied onlyvs
in accordance with Plat Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements $
FEES _ Plan Check $
Owner E==4Address
Contr. Address
Phone State License
Approved
r _
A PPLICAT'IION FOR ELECTRICAL PERMIT ��
Date � '�- 196-6-
96 0.(7 n -� FEES
Cantr. '_!� 1/i�-�-0 f.Clt�t/�s/ Address 10 01-14
Phone �.�02 �l)0 State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone 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
1'NU HNAL
GRADING FINAL
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Inspector
LATH 8 PLASTER
Date Inspector
FINAL
Date Insoector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Data 1 spector
H.P. CHARGE FIXTURES
Date pector
PERMIT FEE / 0- Motors
9 r Det a for
TOTAL FEES oZ FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE LoTERIAL
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
Date Inspector
WATER SYSTEM FEE GAS PIPING
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
Date Inspector