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NO PERMIT NUMBER 10873 & 83 Canyon Vista Ar:, a=(: 20 & 21 NO. STREET • LOT NO. I i J CIT,1( F CUPERTINO .' APPLICATION'FOR BUILDING PERMIT SANITARY NO. FILE NO. 51,322 DATE March 29 19 77 Application is hereby made for a permit to Const. S--Wood (155 linft a story,type 3 jigh _ to be occupied only as Retaining Wall in accordance with plot plan,plans and specification filed herewith. 400.00 ESTIMATED VALUE OF IMPROVEMENTS S FEE$ 5.00 PLAN CHECK$ OWNER Gateway Const. ADDRESS PHONE CONTR, Gateway Const. ADDRESS PHONE STATE LICENSE APPROVED James H. Sisk/M BUILDING INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR FOUNDATION FLOOR STEEL PRE-GUNITE FRAME BOND BEAMS LATH WALLBOARDS-INT.8 EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. UNDER-FLOOR TIEDOWNS -MISC- DIAPHRAMS MOORE BUSINESS FORMS INC.,LA ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS&INSULATION UNDERGROUND ROUGH FLUES&COMB.AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE FINAL APPLIANCE ROOF DRAIN&LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING MISCELLANEOUS J "W 7L P3 �IlN � .j LOT NCj&4 Vii% is4R NO. STREET (VAL CITY OF CUPERTINO CAP { d APPLICATION FOR BUILDING PERMIT ( FEE w Building Per.No. Szi 3 O Data 4 ;'' a , 19 .. Sanimry Per.No. 3 v Application is he!eby made for a per tom r I a�r�st rryy, Type � �4K� �/111111wAIP)Structure to be occupieonly cQ dQ� Ad"Lo in accordance with a Z u Plans, Specifications and Plot-Plan filed herewith. aw x Estimated Value of Improvements,E a u_ PI Ck Fee S _O O It is hereby agreed that the requirements of the Fee $� > 3 Cupertino Building and Zoning Ordinances and all p a other laws applicable to the construction,location,and Total Fee$ Z use of buildings within the City of Cupertino will be ZO complied with. _ a Z O RR PHO ADDRESS CONTR.O GENT wA� 55 _ U � PHONE STATE LICENSEBUILDING INSPECTOR u