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NO PERMIT NUMBER v�T 10490 I GLENVIEW AVE. Lot No. No. Street t APPLICATION FOR BUI G PERMIT CITY OFP INO File No. 51118 Sanitary No. Date 196 Application 4s h .6y made for •rmit to a story, Type to he occupied only in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ FEE$ Plan Check $ 0,fief D. F. Bettisworth Address C ontr. Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date / 196 1�1— GAS FEE $ / PLUMBING FEE $ Contr. w �Fvz rasa �7'J�.S— Phone -.a'5Z 9� 7State License r0/9 Approved APPLICATION FOR APPLIANCE PERMIT Data 196 FEES Contr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION Date Inspector UNDERFLOOR Date Inspector FRAME Data Inspector LATH & PLASTER Date Ins pe c tar FINAL Date Inspector ELECTRICAL ,OUTLETS SERVICE SIZE SWITCHES UNDERGROUND - Date Inspector RECEPTACLES ROUGH WIRING Date Inspector FIXTURES FINISH WIRING Date Inspector H.P. CHARGE FIXTURES Date Inspector PERMIT FEE Motors Date Inspector TOTAL FEES FINAL . Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE TERIAL WATER SYSTEM SIZE TERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE o_s PARTIAL ROUGH Date Inspector MAIN DRAIN FEE ROUGH COMPLETE Date Inspector STORM DRAIN FEE MAIN DRAIN o-v Date Inspector WA TE R'SYSTEM FEE GAS PIPING Data n GAS PIPING FEE FINAL vo Date Anspector PERMIT FEE MISC Dote ns pector 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 Mt.. Inspector loygo / � J[� LOT NO. PLI TI FOR PLUMBING PERMIT a ,'JUL U �9 ( OP CUPERTINO w Z Y p Sanitary No. R w �/// ° a Dat 096— Permit No 3U Fee $ . QO � ° Application is hereby made to the City of Cupertino for a permit to install plumbing o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said rices rand/or fixtures in accordance with the provisions of the Plumbing Code of the City of U) Cupertino, and all oth )plicable thereto. � w Use of Premises 00 " D. r- 3 aT I , wow rte Address- o < y4O G�PrI!// t°u> . 3 Owner ZJ � J By W/17 ER Address ��3s �ICRC��pS/S^�r• 3 0 s� CONTRACTOR,,.AAGENT S ANI/'QCL 'I — m Phone dty� ��/7 Jf W z �nj / ° O( / F '3 (� Approved WILLIAM D. BENEVICH a o State License —U PLUMBING INSPECTOR w mo o u co a E � o dAroo ° _ w C70o Cdw ° & no b S a < Nrr n O H S w 'y w a Sn c 0 3 N d y O .rl m rr z $ rriy � gz � � 0 0 «N n z -� � y N n O w o w x' w F• y o o w ' E 9 o 0 o w n' [s1 F w x C c o. ^ O by oTJ rI r� r• M z z � a � $ ? m