P#100,125 Zo�p� Lot No.
No. Street /
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO `l
Fila N6. OOs '�+'
Sanitary No.
Date 196
Appli con ' hereby made for a,permit to
'It An
n story, pe
to be occupied only as
in accordance with Plot Plan, Plans and Specifi ea filed herewith.
E 'mo ted Value of Improvements $
CID
FEES o Plan Check $
Ow ner�• Address Ffs f7y��t/�eL•
C anti. + Address
Phone State Lica s /
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Conti. Address
t
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196G EE $
MBING E $
Conti. 10
ass
00
Phone to Li nse
A Quad
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Conti. 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
Data Inspector
LATH & PLASTER.
FINAL Data Inspector
Do to Ins as czar
E"L"ECTRICAL
.OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Date Inspector
Date Inspector
FIXTURES FINISH WIRING
H.P. CHARGE FI%TURES Date Inspector
PERMIT FEE Motors Date Inspector
TOTAL FEES FINAL I Date Inspector
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN SIZE I MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
" Date nspector
MAIN DRAIN FEE ROUGH COMPLETE
STORM DRAIN FEE / ^ Da t4 spa<for
MAIN DRAIN
WATER SYSTEM FEE GAS PIPING
Date nspector
GAS PIPING FEE FINAL Date Inspector
Date Inspector
PERMIT FEE MISC
Date Ins peetor
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
r
INSPECTED
Do to Inspector
Bldg. Dept
Offi,:e Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .^...o.g..................
Plumbing Final Plumbing Permit NoXQ4?4..-1.y'---...-
LotNo. ................................
Owneror Tenant .... .......r/�.............................. .........---....------------.:.----............---..
ZO [<.... .TNS-........ -'0W`.--------------------------------------
Tract ----- -- - -------------...--Tract .---...--------....... --------------------.._.....................................................................................
Date Connected ........------------- }�.( ........ ---- - I r ....
Date Final
PLUMBING SPE O
III 7/63-1M .-.,._
LOT NO.
NO. MF.ra'
0 APPLICATION FOR PLUMBING PERMIT
CUPERTWO
Sanitary No. Kr
o < Date 7 ,�tl'.96— Permit No bgdt 1 y'�
3 LL ((�� ��yy''pp Pee
Apphcn ton�YS9tefelbl).�4�� �(�ity of Cupertino for n permit to install plumbing
o pipes and/or fixture liste � , h verse side hereof, and agrees to install said prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
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Cupertino, and all other laws applicable thereto.
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Use of Premises
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0 3 OwnerAddres.
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O C Ni'RAC,T� ,AGIIN S I,/,
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a o ate License
Approve
—u PLUM6ING IN E OA '/
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do6S8 �:�n�i% Cone LOT NO.
NO. STREET
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
1577
ryry'�77 Permit No.
/9'Date �� � ,191Fee$ 7 �a
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto.
Use of Work To Ba �'
sremises /yOs•3c 5•'.�r mi�y Performed hkeml Al-.hycw
Dwner AE, &P. /7/0c77' Address 2'
Phone X47— /o. eo
By ocJnM Address
Contractor,Agent
'hone
irate License a4 Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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