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FILE 51075.8.. r Dr NO. STREET t / ! t ' ;y I CITY,OE CUPERTINO APPLICATION POR BUILDING PERMIT DATE 8-28 19 79 Application is hereby made for a permit to to be occupied only SANITARY NO. FILE NO. 0—story, type replace shower wall in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF FEES 7.00 OWNER Verardi PHONE N611XIIp; CHECKS ccc 862 Ferngrove Dr. CONTR. Farnsworth Termite ContrRESS P.O. Box 925,Morgan Hill PHONE 268-6655 STATE LICENSE 4792 APPROVED Angelo Leber c2 BUILDING INSPECTION RECORD DATE I INSPECTOR I I DATE I INSPECTOR NDATION PRE-GUNITE FRAME BOND BEAMS LATH WALLBOARDS - INT. B EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. UNDER -FLOOR TIEDOWNS -MISC- FORMS NC.. L. u 0 ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE I INSPECTOR 1 COMMERCIAL DATE I INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL MISCELLANEOUS PLUMBING INSPECTION RECORD DATE INSPECTOR BACK FLOW REQUIRED BACK FLOW INSTALLED UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE 7- G ROOF DRAIN & LEADERS FINAL GAS FINAL PLUMBING HEATING & A/C INSPECTION RECORD DATE I INSPECTOR UNDERFLOOR S.M. DUCTS & INSULATION FLUES & COMB. AIR CONDENSATE DRAINS FINAL APPLIANCE CITY OF CUPERTINO CAP 1 VAL. d APPLICATION FOR BUILDING PERMIT l FEE ' 5a z5; Gr a 9 19 '7 Building Per. No. Date O L x O Sanitary Per. No. u - i v Application is hereby made for a permit to story, Type Structure �O n/ u_ w to be occupied only as -gyp ^ e 5- N. 4" in accordance with OQ 'Z w Plans, Specifications and Plot -Plan filed herewith. a Estimated Value of Improvements, $ LL ���� PI Ck Fee $ O O It is hereby agreed that the requi?{me^nt�s ipiJstic Re w Cupertino Building and Zoning Ordina��rff�`dttiida all � Fee $ /,0 3 other laws applicable to the construction'�dtation iid Z use of buildings within the City of Cupertirlp�'Ji'i8 be Total Fee $ Z complied with. O�" 3° — eeA. r_ lll ; x6e f r7a . w Z OWNER P ONESDDRESS0/r_-"+""_ a., �. ✓ �o % . d . Ba Q CON R. ORA ENT O f PHONE STATE LICENSE BUILDIN INSPECTORT�