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NO PERMIT NUMBER Lot No. No. Street i APPLICATION FOR BU LDING PERMIT CITY OF CUPERTINO Sanitary No.7T / File No.�3-WAO Dare J 196� " Application is hereby made for a permit to a tory, Type to be occupied only as in accordance with Plot Plan, Plans a d Specification filed herewith„ Estimated Value of Improvements $ FEES 7 n Plan Cheek E Owr,er � Address Cont,. O Address '2V G Phone State License al Approved 61/ APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dare 196 GAS FEE $ PLUMBING FEE $ Contr. -Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ Contr. Address Phone s 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 DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR FRAME LATH 8 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 -I -7I FINAL PLBG. FINAL GAS FINAL APPLIANCE DATE INSPECTOR MISC. MISC MISC MISC .17 Bldg. Dept. Office Copy BUILDING INSPECTORS OFFICE jCITY OF CUPERTINO !Sewer Connection Sanitary Permit No. ---7�(D...1........... [gf Plumbing Final Plumbing Permit No. .`n0.� LotNo- ------------------------------- Owner or Tenant ....... At ---:1/'L `i�7....Z`!A -'-- W Tract Date Connected -------- '--!�4.... ............... 19............ DateFinal -----------3----I--- - /-----------------------------------------------------n�---o�------,{-}------- 19........--- I ........................ ................. PLUMBING INSPECTOR