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NO PERMIT NUMBER (2) 216250 Fitzgerald Drive NO. STREET �. .., ,- . LOT NO. .50 CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT ' SANITARY NO. FILE NO. 91,187.1 �L DATE-8/29/711 19_ Application is hereby made for a permit to 00115+r1C+ a 1 story,type_5. N. Hr. to be occupied only as J - Pati n Cnvpr I I I x 40 t in accordance with plot plan,plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS $ 400 FEE$ 5-()() PLAN CHECK$ OWNER Donald E Bidlack ADDRESS PHONE 254-1478 CONTR. ADDRESS PHONE STATE LICENSE APPROVED J.A. Busto/h BUILDING INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR FOUNDATION FLOOR STEEL PRE-GUNITE FRAME BOND BEAMS LATH WALLBOARDS- INT.B EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION FINAL BLDG. UNDER-FLOOR TIEDOWNS -MISC- DIAPHRAMS MOORE BUSINESS FORMS INC..LA ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS&INSULATION UNDERGROUND ROUGH FLUES&COMB.AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH,COMPLETE FINAL APPLIANCE ROOF DRAIN&LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING MISCELLANEOUS �/¢ 60 tz creV�a/CA LOT NO, 73 NO. STH EE w ¢ P C ON FOR BUILDING PERMIT ' o ITY OF CUPERTINO K LL CM Illddd999... Sanitary No. a r 119 U / i LL U;tte e 196 Permit No. ` ta Cal �o p tlo CeRT or a permit to a / i N a I story,Type -570 rn n� �q e cy Building aw j^ ato be occupied only as Rgo jCqgj:e in accordance with a o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee > m e J Estimated Value of Improvements,$ iff Fee$ a 4-0 iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and J Z all other laws applicable to the construction, location, and use of buildings within the City of d O Cupertino wi I be complied with,—' 3 Owner l�/� . �'ru�',e�ir..) Address!ER//.-�i d W a By 3Qvn P Address ox `� Phone :04; �— 3 G d 5 Approved G� ```d State License BUILDING INSPECTOR