NO PERMIT NUMBER \ I
Lot No.
No. Street
.APPLICATION FOR BUILDI G. PERMIT
CITY OF CUPERT NO _ 3 !.
Fila No. //—" J
r.� Sanitary No.
Date / 196
Application is here Ly made for a permit to
aZz� story, Typc
to he occupied only as
in hccordance wit lot Plan, Plans and Speciflcati(W filed herewith.
Estimated Value of Improvements $
FEES Plan Check $
Owner _ � - Address
Contr. �/t/"� ��1� Address 1
Phone State License�i//� R� ' ' - __ ,,
Approved 4/641 /46'f—�"""'"'��
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone - State License
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
r
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PAD FINAL
GRADING FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Dare Inspec or
UNDERFLOOR
Da actor
FRAME
D e ector
LATH B PLASTER
to s
FINAL
ra Ins De cter
LECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Data Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
N.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Data Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE IMMATERIAL
WATER SYSTEM SIZE JATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Dare Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Ins pe c f or
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date nspecfor
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 It MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector
�NO, zj q
NO. S
z a ®
wFOR BUILDING PERMIT
� �
° OF CUPERTINO
iIAPR 1 1965 Sanitary No. JJ
SV
iUateTT /�CC �/�jt�1 J1,��I{�r�❑rr,��/,TT, 196_ eermit No.
o W CllypllcQ@n IYIIYY'H.l,'7`r{�®a 1
a
z N a story,TYP Building
aW
W ? to be occupied onlyas
a
o o in accordance with PI s, Specifications and Plot-Pan filed herewith.
< OL 0
Estimated Value of Improvements, $ Z9 .5� Pee$ C=2
a
,z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, locatiog, and use of buildings within the City of
d 0 Cupertino will be co plied with.
3 ~ Owner lG J,f 1Lw. a<. cam ,
— Address
W Z
I By— La.co'
rce-' w ,;r-cr`f AddrePPss
a� Phone d ��' IoO�L6 r A rove
State License. BUILDING INSPBCt'OR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DA'Z'E INSPECTOR
FRAME —J
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
4
FINAL GAS
DATE / I� INSPECTOR
1\
et'Ft!�A-'ey LOT NO.
NO. STREET
N Q
m¢ CITY OF CUPERTINO
Yo APPLICATION FOR PLUMBING PERMIT
d6 Olt
���Z
Q >,_ Sanitary No.
W D-1--44%fr , 19� Permit Nyo.- /xyS—
H O ��`� ♦ O Fee S
wW ! .
a Ap ahn is hereby made to the City of Cupertino for a permit to install plumbing .
Z
y pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices .
w w and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a 1- Cupertino, and all other laws applicable thereto.
J,
00 use of Work To Be
ul Premises Performed
o< 14144. 4 .�� Say �
Z J Owner Atltlren
JZ
J O By Addrea�
3 Q Contractor,Agent r
iy Z Phone i.a 71'
w
R State Liconee ^�� Approved
O�
Q O umbing Impactor
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