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NO PERMIT NUMBER C—'Z . Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Sanitary No. File No. 1 Data J/// 196 ?� Application is hereby made for a permit to a story, Type to be occupied only as dz�- C4� in accordance with Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements $ 4--G v FEES —4-C-0"V Pion Check $ Owner Address �+ Contr, S✓��/"V� �'r�'s"/'�./ Address z-t ep r 044.4-F. - Phone State License ar�� d }� r Approved ��`� - !a APPLICATION FOR ELECTRICAL PERMIT Dote 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Cont,. 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 RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR FRAME LATH & PLASTER GRADING FINAL FINAL BLDG. ELECTRICAL DATE INSPECTOR MISC. UNDERGROUND ROUGH ROUGH WIRING FINISHED WIRING FIXTURES MOTORS FINAL PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REO. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. FINAL GAS FINAL APPLIANCE DATE INSPECTOR MISC. . MISC MISC MISC -42 l� LOT NO. NO. STREET wLIT FOR BUILDING PERMIT ° y OF CUPERTINO Y LL ° < Sanitary No. W LL Uate b�^7AaLl�197 o I9�� Permit No. Z- ' o rca s Is re ermit to ' Lal CI i fur` Rfifau P a — zln astorY�TYP° / �'X3 7 �d �� �Z ` Building ito be occupied only as in accordance with 20 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee Estimated Value of Improvements, S _S /in i Fez S -5-0-—0 o < i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and * z all other laws applicable to the construction, location, and use of buildings within the City of L o Cupertino will be complied with. 37 _ N Owner ,-VR w AIR S . T R r f ria s Address /035.1 CAST r U6 djP u i By 29d Ak S CA.,c>, Cn , Address 1.5 A5 L;16'al.. 4u�Y/E, ° Phone 21!r-SCR46 Approved WILLIAM D. BENCVIC State License a.�3a r 9 BUILDING INSPECT