51167.2z J881 I C14CU.1evS LOT
NO. STREET
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
V,5f
19;P Permit No. f1z ri > 3
is hereby ma,1 permit to ` OM S Ay t f
a • M mrit3 story as?
'�" Building
to be occupied onlolmprwo%ements,
S� O � in accordance with
P te��iti ded herewith. P1 Ck Fee
Estimated Value o 00 Fee $Ar�
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Phone 3 % % . f"'k
State License C-,$2 oZ.S-� -Sci ,
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'$
QOM PENSATION LAWS O- THE STATE OF CALIFORNIA.
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APPLIANCE 11 UNITS I FEES
Hood & Vent System
Forced Air Under 4000 CFM
Forced Air Over 4000 CPM
Ind. Ventilation System
(without Comfort Cool
Forced Air. Mech. each Power
Gravity $ stem
No. of Air Outlets. No. of Flues
Comfort Cooling
Comp. of 20 HP or less
of 500.001 &
Total 11 Total Fee I 4
I AGREE I WILL NOT VIOLATE ANY OF THE N/ORnMEN*S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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ITEM NEW RPL FEES
Number of Outlets
Number of Switches
Number of Receptacles
Number of Fixtures
Ranges or Ovens K.W.
Size of Main Service
H.P