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51173
O ��• / LOT NO. N � tEPT w ¢V 1 ION FOR BUILDING PERMIT o CITY OF CUPERTINO gUL 291969 Sanitan, No. 3� 1%/ 7 3 LL '1te /� [pZ1' I96 Permit No. oa T pliL- ERl ily©de fora permit to .1 n a}4,LL, t/.7e� (..,� K 2 �¢I�_�eoQ, iLo astory,Type hC/LAcL/L.! a Building a w .. to be occupied only as m accordance with , oo Plans, Specifications and Plot-Plan fled herewith. Pl Ck Fee > m -4�7 O Fee$c� X02 o�v 3 Estimated Value of Improvements,$2� p a z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and J z all other laws applicable to the construction, location, and use of buildings within the City of d o Cupertino will be complied with. / 3m Ow��n^^e-"�;-/ecAa.ell /-&c�l4 A+rd Address lle, rca By Ie ut �12 ie �e/�P// ( 1✓C Address$/'sr -P/zea .1 el a u Phorn.cf d 6 /O Approved State License / y a G BUILDING INSPECTOR � n Lot No. No. / Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Sanitary No.r File No.`r� � 7� Dote 196 —� •.Application is hereby made for a permit to 111..�I a t s or ype to be occupied only as in accordance with Plot Plan, Pians and Specification filed herewith, r� -' Estimated Value of Improvements S 21, .-0 y FEES /.2 • J� Plan Check $ Owner �1 �f'�'�drass Cont'. Phone 9161-15610 State License �n0� Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Contr, Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT c3�l Dote o �� 196 GAS'FEE $ ��//� PLUMBING FEE $ �! Cont'. L Y ` /'` e e'-^"�' "�^ Address ��5� �N /- V Phone "Z 9S ^— � State License Approved " �d APPLICATION FOR APPLIANCE PERMIT Date 196 FEES Contr. Address Phone State License Approved Applicants agree not to violate any of the Worleman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDE RF LOOR �- Q 6 �9 -6�' �• $5 X25spgsncarm H a 19-6q FRAME LATH & PLASTER GRADING FINAL FINAL BLDG. ELECTRICAL DATE INSPECTOR MISC. UNDERGROUND ROUGH ROUGH WIRING FINISHED WIRING FIXTURES MOTORS FINAL 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 1