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NO PERMIT NUMBER 6,55 I/V 4w7 >` �iJl/.��0 Lot No. No. Str t CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT Sanitary No. File No.�Q� Date -52/ 2 79 L Application is hereby made for a permit to a story, Type to be occupied only as in accordance with Plot Plan, Plans and Specification filed herewith„ Estimated Value of Improvements $ FEE$ y�/f5�/ Plan Check $ Owner /���//01�y�' // Address —7/ y/ Contr/-7'� �J�JGGG!///iA�.//� Address e, 7d/�1r //t �J( Phone –��J ' State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 19 FEE$ Contr. Address phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 19 GAS FEE $ PLUMBING FEE, S Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 19 FEES Contr, Address Phone State License Approved Applicants agree ant to violate any of the Workman's Cnmpen.sation Laws of the State of California PD-1 RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR FRAME LATH & PLASTER GRADING FINAL FINAL BLDG. ELECTRICAL DATE INSPECTOR MISC. UNDERGROUND ROUGH ROUGH WIRING FINISHED WIRING FIXTURES MOTORS FINAL I PLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REO. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. FINAL GAS FINAL APPLIANCE DATE INSPECTOR MISC. MISC MISC MISC