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FILE 51121Do to Street APPLICATION FOR BUIPIN CITY OF CUPERTIh —196 Application is h4r made m to be occupied Lot No. File No. Sanitary No. story, Type \ �-tn accordance with Plot plan, Plans and Specification filed herewith, Estimated Value of Improvements $ FEES Plan Check $ Dwr.er X/N .4.lf:i:�-at /L�O �� Address Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License . EdOUT&N Approved 118M L NG & GAS PERMIT Data TY OF 196 _ pC_ Ur`IO`T�111VIfV1 1 GAS FEE $ — PLUMBING FEE i Cantr, �% / Address1'471-`i. Phone �'a /.tea State License Approved APPLICATION FOR APPLIANCE PERMIT Dora`` 196 FEES Cont', Address Phone State License .. .. Approved . Applicants agree not to violate any of the Workman's Compensation Lacus of the State of California , RECORD OF INSPECTION APPROVALS OUTLETS Date SWITCHES BUILDING RECEPTACLES FOUNDATION FIXTURES Date M.P. CHARGE PARTIAL ROUGH Date Inspector UNDERFLOOR Inspector MAIN DRAIN FEE SUSPENDED UNIT ROUGH COMPLETE Date - Inspector FRAME Inspector STORM DRAIN FEE MAIN DRAIN Date GAS DRYER Inspector LATH & PLASTER WATER SYSTEM FEE GAS PIPING Inspector Date Inspector GAS PIPING FEE FINAL FINAL Da to Inspector PERMIT FEE Date MISC ' Ins oe c tar ---- ELECTRICAL nspector UNDERGROUND ROUGH WIRING. FINISH WIRING FIXTURES__ Motors FINAL SERVICE SIZE Date OUTLETS Date SWITCHES Date RECEPTACLES Date FIXTURES Date M.P. CHARGE PARTIAL ROUGH PERMIT FEE TOTAL FEES Date UNDERGROUND ROUGH WIRING. FINISH WIRING FIXTURES__ Motors FINAL SERVICE SIZE Date Inspector Date Inspector Date Inspector Date Inspector Date Inspector Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I MATERIAL TERIAL STORM DRAIN SIZE LoTERIAL UNDERGROUND SYSTEM SIZE 11WWATER TERIAL UNITS TOTAL FIXTURES CIRCULATING HEATERS UNDERGROUND FIXTURE FEE � PARTIAL ROUGH BLOWER FURNACES Date Inspector MAIN DRAIN FEE SUSPENDED UNIT ROUGH COMPLETE - Date Inspector STORM DRAIN FEE MAIN DRAIN ' GAS DRYER Date Inspector WATER SYSTEM FEE GAS PIPING TOTAL FEE Date Inspector GAS PIPING FEE FINAL Da to Inspector PERMIT FEE � MISC ' ---- ate nspector TOTAL FEE �� MISC 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 n_._ Inc necfer