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NO PERMIT NUMBER Z4-ky I l '[f"[M� (,�fi(iLt _ - Lot No. No. f Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. Sal Sanitary No. Date 196 Application is hereby made for a permit to Sa story, Type to be occupied only as in accordance with plot plan, Plans and Specification filed herewith, Estimated Value of Improvements $ FEES Plan Check $ Owner Address 146 16 4V Contr. 11PI /j� Address 11464141 4 Phone -aS.2 State License Approved 1 APPLICATION FOR ELECTRICAL PERT Date 96� FEES S Contr. Address Phan e �V 7 OZ State License Approved WILLIAM D. EIENEVICH APPLICATION FOR PLUMBING R 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 Approved Applicants agree not to violate any of(he Workman's Compensation Laws of the j., State of California RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION DATE INSPECTOR UNDERFLOOR DATE INSPECTOR FRAME DATE INSPECTOR LATH & PLASTER DATE INSPECTOR FINAL DATE INSPECTOR ELECTRICAL ELECT. SERVICE DATE INSPECTOR UNDERGROUND 'DATE INSPECTOR ROUGH WIRING ' DATE INSPECTOR FINISH WIRING DATE INSPECTOR FIXTURES DATE INSPECTOR MOTORS DATE INSPECTOR FINAL DATE INSPECTOR PLUMBING & GAS UNDERGROUND DATE INSPECTOR PARTIAL ROUGH DATE INSPECTOR ROUGH COMPLETE DATE INSPECTOR MAIN DRAIN DATE INSPECTOR GAS PIPING DATE INSPECTOR FINAL DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR Lot No. No. Street � APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No. Sanitary No. Dote 196 - Application is hereby made for a permit to u story, Type to be occupied only as , in accordance with Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements $ FEE$ �y / / Plan jCheck $ Owner /�wtn-u�/ d�/'�7� Addl.A 0 Contr. Address Phone - S� — 1 g State License Approved APPLICATION FOR ELECTRICAL PERMIT Date d 196 FEE$ a 6oMr. �/ — Address Phone State License I - Af� 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 Approved Applicants agree not to violate any of the. Workman's Compensation Laws of-the State of California RECORD 0 SPECTION APPROVALS FOUND ON BUILDING Date Inspector UNDERFLOOR Date Inspector FRAME Dote Inspector LATH & PLASTER Date Inspector FINAL Date Insoector ELECTRICAL ,OUTLETS c�— SERVICE SIZE SWITCHES iS UNDERGROUND Date Inspector RECE PTACLESS ROUGH WIRING Date Inspector FIXTURES � FINISH WIRING Date Ins peetor H. . CHA GE FIXTURES �..a Date Inspector PERMIT FEE oZ Motors Data Inspector TOTAL FEES — FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL 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 Data 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 r Date Inspector /Q3�� cc�ey �Fv LOT NO, NO. STREET' ,CITY Or CUFUTINOAPPLICATION FOR PLUMBING PERMIT w 4 - CITY OF CUPERTINO Y o JAN G 1972 Sanitary No. LL Date /2' 2 3 U f:> n 7 ` 1921 Permit No. S/// �3-0 = LL Pee $ 1.0 Application is hereby made to the City Of Cupertino for a permit to install plumbing 'o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices i to and/or fixtures in accordance with the provisions of the Plumbing Code of the City of a w Cupertino, and all Other laws applicable thereto. wx pp LL Use of Premises 0 0 o < Owner a/ o0 !f S Y %l. Address &Jf%Fq 7---A,/ zJ z By liet_d64 L01u G/Cua+ Address'3% P6`Jefl vPf O'UL AU S// 3 (V)NTRACTOOR, AGENT — `m Phone—. % 7 O / 7 w Z 0f 237 9�.� 0 State License Approved _ U PLUMBING INSPECTOR � gym ` ® ® ® ! { E / e3 2 ` ■ ! ® + 7 . q : � E ! ! § l , - - E n0 � ) �. - � !