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File 100021es Lot No. No. Street a APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File No./e:7457 a°7-/ / Sanitary No. Date 196 1 Application is hereby made for a permit to a to be occupied only as story, Type in accordance wit Vlot Plan, Plans and Specification filed herewith„ Estimated Value of Improvements u S FEES �2 Plan-Check E Owner Address C. wtr. / ` Address Phone �`� 7J State License /, �'/A /QQ��������� � �� Approved "�94W -4 �+w+wV , / APPLICATION FOR ELECTRICAL PERMIT Date /S l 196 'S/ FEES Conti. f- t�[.a..:.- Ct— c��c.. 4i Address/0 Phone � 2 A) O State License Approved Do to APPLICATION FOR PLUMBING & GAS PERMIT 196 GAS FEE E PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEES Contr Phone Applicants agree not to.violate any of the Workman's Compensation Laws of the State of California Address State Licons< Approved RECORD OF INSPECTION APPROVALS SERVICE SV_E I BUILDING UNITS FOUNDATION SWITCHES Date Inspector Date nspector UNDERFLOOR FIXTURES c2l_ it e-o Date Inspector FRAME PERMIT FEE Date Inspector D Inspector LATH 8 PLASTER GAS RANGE Date Inspector a a ctor FINAL GAS DRYER to In for Date Insoectar ELECTRICAL SERVICE SV_E I .OUTLETS UNITS FEE SWITCHES Date Inspector RECEPTACLES LwITERIAL FIXTURES c2l_ Date e-o H.P. CHARGE iTERIAL PERMIT FEE Date Inspector TOTAL FEES UNDERGROUND ELECTRICAL MAIN DRAIN SERVICE SV_E I UNDERGROUND UNITS FEE CIRCULATING HEATERS Date Inspector ROUGH WIRING LwITERIAL BLOWER FURNACES Date Inspector FINISH WIRING iTERIAL SUSPENDED UNIT Date Inspector FIXTURES UNDERGROUND GAS RANGE Date Inspector Morors PARTIAL ROUGH GAS DRYER to In for FINAL ROUGH COMPLETE Date Date Inspector PLUMBING & GAS MAIN DRAIN MAIN DRAIN I SIZE I I MATERIAL UNITS FEE CIRCULATING HEATERS STORM DRAIN I SIZE I LwITERIAL BLOWER FURNACES WATER SYSTEM SIZE iTERIAL SUSPENDED UNIT TOTAL FIXTURES MISC UNDERGROUND GAS RANGE FIXTURE FEE MISC PARTIAL ROUGH GAS DRYER MAIN DRAIN FEE PERMIT FEE ROUGH COMPLETE Date 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 vote 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 loot No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Dote 196 Application is hereby made for a permit to a to be occupied only as Lot No. File No/� -21 Sanitary Z I�r V�AIt;� in acc NAAce with Plot Plan, Plans and Specification filed herewith, (I vv Estimated Value of Improvements b J FEE$ Plan Check $ Owner Address 6enrM Address Phone ag fei 61 , f Zr State License Approved APPLICATION FOR ELECTRICAL PERMIT Data L/6- 196 FEE§ Cantr. Ct,.,&44"o ioG a i �I y�w 9 Address Phone i S a' �0 0 State License // 7Q�6 ,� 7 ' ,. Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Contr. Phone Date- Contr. Phone Address State License Approved APPLICATION FOR APPLIANCE PERMIT 196 - 'FEE$ Address State License ,. Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION BUILDING Date UNDERFLOOR Date FRAME Date LATH 8 PLASTE FINAL ELECTRICAL UNDERGROUND ROUGH WIRING FINISH WIRING FIXTURES Motors FINAL • � PLUMBING & GAS 1' Inspector Inspector I ns pe t for fe In �-Ins De ctor SERVICE SIZE I Date Date Date Date A Date Inspector Inspector Inspector Inspector ns pe ctor Inspector MAIN DRAIN I SIZE I I MATERIAL ,OUTLETS STORM DRAIN I SIZE SWITCHES UNDERGROUND RECEPTACLES PARTIAL ROUGH FIXTURES H.P. CHARGE - Inspector MAIN DRAIN FEE PERMIT FEE ROUGH COMPLETE TOTAL FEES Do t6 ELECTRICAL UNDERGROUND ROUGH WIRING FINISH WIRING FIXTURES Motors FINAL • � PLUMBING & GAS 1' Inspector Inspector I ns pe t for fe In �-Ins De ctor SERVICE SIZE I Date Date Date Date A Date Inspector Inspector Inspector Inspector ns pe ctor Inspector MAIN DRAIN I SIZE I I MATERIAL TERIAL STORM DRAIN I SIZE I LL4TERIAL UNDERGROUND WATER SYSTEM SIZE FEE TERIAL UNITS TOTAL FIXTURES CIRCULATING HEATERS UNDERGROUND FIXTURE FEE PARTIAL ROUGH BLOWER FURNACES Date - Inspector MAIN DRAIN FEE SUSPENDED UNIT ROUGH COMPLETE MISC Do t6 Inspector STORM DRAIN FEE MAIN DRAIN GAS DRYER Date Inspector WATER SYSTEM FEE GAS PIPING TOTAL FEE 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