NO PERMIT NUMBER 1
I '
U3.2 / I l�'�'�`�'/, t/l�^-C�i. Lot No.
No. Stree
APPLICATIONXf
T
CITY
File No.C5/
anitary No.
Date 196
Applicat o is er by may, Type
to be oc ¢pied ly
accordancewith plot pl p t and ci fication filed herewith.
E 'ma d'Va lue of Improvements
FEE$ _ Plan Check $
Owner Address
Contr, Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
4
Approved
P'
L1ICATION FOR PLUMBING & GAS PERMIT
TDate
e�ll � 6��b GAS FEE $
PLUMBING FEE $ /
Contr. Address
PhoneState License
y 1 Approved
CC APPLICATION FOR APPLIANdVPERMIT
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 OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Date Ins pec tar
LATH & PLASTER
Date Inspector
FINAL
Date Ina ore Iter
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
' TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE LWATERIAL
WATER SYSTEM SIZE JATERIA I L
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE 0'O PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE MAIN DRAIN
Data Inspector
WATER SYSTEM FEE ! GAS PIPING
Date Inspector
GAS PIPING FEE - FINAL
Date Inspector
i PERMIT FEE � � MISC
ata nspector
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
Date Inspector
10,3 ^ {If/�'� , Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
( Sanitary No.
Dote 796 S�
A U tion is hereby made for a permit to
to be occupied IVY as
in accordance with plot plan, plans and Specification filed herewith,
(y� C/!
�..yEstimated Value of Improvements $ �
FEES s� -'�" Plan Check $
Dwaer Address
Contr. -` Q A- 'Address
�
Phone Tv _
Stare License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 12-f 196 FEES J-0
Contr. Address
//7 (a
Phone _ ��T�t/ State License/ / ;)-6 �/�� 9,
Approved GC/.(/ xsa+ .r-".c+.�/I
APPLICATION FOR PLUMBING & 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 OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Dote Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Inspector
LATH & PLASTER
_ to ,S — tar
FINAL
Date Ins Dec ter
CTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Data Inspector
FIXTURES FINISH WIRING
Dote Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
TOTAL FEES FINAL Dae I
w.
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I MATERIAL
STORM DRAIN SIZE Lm6TERIAL
WATER SYSTEM SIZE ATERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Does Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date 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
Do to Inspector -
/0329 COL- 13Y AV
NO. STREET ate/ ,Lp
�Q yy
w=city OP curanTINO CITY OF CUPERTINO
'0Nov 1 1973 APPLICATION FOR PLUMBING PERMIT
tic
OJ
wWu pere 73 Sanitary No. J
WO D 19_ Permit No.
W II' '1^ Fee$
o~
Application is hereby made to the City of Cupertino fora permit to install plumbing
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In 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 W
00
Use of /J // Work To Be
v' Promisea C`r Performed
OQ n
2 J OwnerCj r 1 /I-(L I C Address SAM 6
J O By &2t" U�n� `Vl//Ld"t-' l 44YAddress -2-(,TO 5'7-04,6-4V
+T Q Contra r,Agent Vf/L
W
Z Phone2�7
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W 1 .2 2- 37 snwol//� .
0 State License Approved
40 O Plumbing Inspector
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