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
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