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51140 l i C3(aa — 1 Zw t tIJ 1� Yeo •.� )% Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO File NZOEZ Sanitary No. Date 196 Application is hre6'y made for a per it to to he occupied only as \ incco dance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ 00 FEE$ Plan Check $ Owner --1/ !� Address Contr. t�n���/ Address Phone State License Approved Q ®,(AUG 141964 APPLIrC/ATION FOR ELECTRICAL PERMIT Date f 196T FEE$ o© IRIQ r,• r Contr,' K Address v ^ Phone est .S State License _ Approved _ / 11 1 / APPLICATION FOR PLUMBING & GAS P&MIT Date 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ 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 FOUNDATION- BUILDING Date Inspector UNDERFLOOR ' Date Inspector FRAME Date Inspector LATH & PLASTER FINAL Date Inspector Dote Insoector ELECTRICAL ,OUTLETS I.� SERVICE S17_E SWITCHES UNDERGROUND RECEPTACLES ROUGH WIRING Date Inspector zIDate Inspector X TUR E$ FINISH WIRING _ Date /Inspector H.P. CHAR '� FIXTURES Spector PERMIT FEE Cif Motors Inspector TOTAL FEES -- FINAL ata t / Inspector l PLUMBINGi GAS MAIN DRAIN SIZE I I MATERIAL STORM DRAIN I SIZE I LhrERIAL WATER SYSTEM SIZE IA I TERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH . Date Inspector MAIN DRAIN FEE ROUGH COMPLETE Do to Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE GAS PIPING GAS PIPING FEE FINAL Date Inspector Date Inspector PERMIT FEE MISC Date Inspacfor 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 Do to Inspector