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NO PERMIT NUMBER e7 Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO // File No. 5—,111149 49 Da to 196 / 0� Sanitary No. `-/�� Application is hereby made for a permit to story, Type to be occupied only as to in accordance with plot plan ns and Specification filed herewith, Estimated Value of Improvements $ FEES Plan Check $ Owner zeraw.r� Address n Contr. r�p. Address c Phone •� `D ���� State License � 7F Z!l Approved W e+r v APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Date 196 r GAS FEE $ �-/ PLUMBING FEE D 's 7 a Contr. _ .,&Ve Address f -Spe g• . G.KI Phone — 3 74Fr- .211D State License — 42 Q Approved APPLICATION FOR APPLIANCE PERMIT Date 1% FEES Contr. - Address Phone State License �,pApproved 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 DATE INSPECTOR LATH & PLASTER DATE INSPECTOR FINAL DATE INSPECTOR ELECTRICAL ELECT. SERVICE DATE INSPECTOR UNDERGROUND DATE INSPECTOR ROUGH WIRING DATE INSPECTOR FINISH WIRING DATE INSPECTOR FIXTURES DATE INSPECTOR MOTORS DATE INSPECTOR FINAL ' DATE INSPECTOR PLUMBING & GAS UNDERGROUND, DATE INSPECTOR PARTIAL ROUGH DATE INSPECTOR ROUGH COMPLETE DATE PECTOR MAIN DRAIN DATE INSPECTOR G-lG - ._ DATE PECTOR DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR L- MISC DATE INSPECTOR MISC DATE INSPECTOR % oif;cc crpy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO II F] Sewer Connection Sanitary Permit No. ........(I .. -------- 0iPlumbing Final Plumbing Permit No. ........... LotNo. .............................. ........ Owner or Tenant • ...... .... ---------------------------------- ....................*----------- ----------------- At ...... Tract --------- ----- ----------------------------------- ----- ........................................................................ AI- DateConnected ------------------------------ ................................................. 19e- Date Final ............ ................../. ------------------ ----- ----------- ............. PLUMBING qIN --Z�ECFOR Ill 7/63-IM Ofi,cc copy BUILDING INSPECTOR'S OFFICE crry OF CbPERTINO ❑ Sewer Connection Sanitary ......... U.�Plumbing Final Plumbing Permit No.1�5-1-1��j........... . Lot No. ................................ Owner or Tenant ...... .............................................. At -- ---- ......................................... ------------------ Tract ............................./-- ---- ------------------------------------------ ........ ---------------------------------I.................... ............ DaleConnected .------------------------- ------/ ---------- -------------------------------------- X DateFinal ------------------------------- ................ -- ------------------ ------ ------------ . .... ..... ... ................. �'e PLUMBING IN PECTOR 111 7/63-IM-