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NO PERMIT NUMBER Lot N..'116 No. - t Street - APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO ` Q File No. + IIy ' �7�/�� Sanitary No. Date -. [-196 Application is hereby made for a permit to a story, Type = sr to be occupied only as in accordance with Plot Plan, Plans and Specifics file herewith„ .E t* Value of lmprove'ants' $922 r♦ FEES IT 'Plan Check $ Owner Address Contr. �/ Address Phone Qe.2 2193,0 State ApprLieansa ove z d APPLICATION FOR ELECTRICAL PERMIT Data 196 FEES o2."'r�"� Contr, _ (N6—r�- .t_._J Address Phone 7 State License -/L{G]- L WILLIAM D. BENCVICH ' Approved APPLICATION FOR PLUMBING & GAS PERMIT Data 196 GAS FEE S J PLUMBING FFF t.�A , Contr. _�LSs-�1M1/ �s^^-^ Q Address I4R,%q /t.•�C �^y� Phone -c'1�5 �a3a�3 State License `-+ 79 Approved WILLIAM D. BENEVICH AP541CATION FOR APPLIANCE FERMI 7 J Date � � L 1% FEES r Contr../(, Address / Phone .3-7 f - 0 /`P 3 State License L" L _t Approved V'JILLIA:l1 D. CEidiiVlChS Applicants agree not to violate any of the i Workman's Compensation Laws of the r State of California 9', RECORD OF INSPECTION APPROVALS APPROVALS FOUNDATION _09 BUILDING ajo Ins pec r UNDERFLOOR b 6 Inepeat FRAME �P In, ata LATH PLASTER t for FINAL Date Inspector ELECTRICAL ,OUTLETS SERVICE SIZ SWITCHES UNDERGROUND D nsp'ctor ,RECEPTACLES ROUGH_ WIRING � nspector FIXTURES FINISH WIRING — to Inspector M.P. CHARGE FIXTURES ate-- Inspector 'PERMIT FEE Motors' — atavactor TOTAL FEES FINAL ak Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND /� FIXTURE FEE PARTIAL ROUGH — &1 J Date y or MAIN DRAIN FEE ROUGH COMPLET -C/ D 19. I or STORM DRAIN FEE MAIN DRAIN Wpet.rr WATER SYSTEM FEE GAS PI NG DafeGAS PIPING FEE FINAL '� Date PERMIT FEE MISC Date napector 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 — �6 _ Date Inspector \ } / $ � 2 j . • � . \ � \ � ■ � ƒ ( \ � m } % . $ 2 � � K \ m . f \ /� / w0 & § ; o o ; m z z z 44 IA to n § � ) fes \ mE2 ) ' � § \ S m _ q m . � 2 ; \7 • Bldg. Dept Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO F-1 Sewer Connection Sanitary Permit No . .................................. EJ—Plumbing Final Plumbing Permit No. ....... Lot NO. ........................ Owner or Tenant .......A6,W ...................................................... At ..................................................... Tract .......... . - .....I--- --✓-e--.,�-,—nle, ....................................../ DateConnected -----------------------------�. ............................................................ 19.--41V—. DateFinal .................................I./ ................... ..................................... 19 el ........... 4-TL.UM�Bl.N.G---INSPECTOR-. - - - ------------------- 111 7/63-IM File No. J�1/-k 7 Date /- 7-6'9_ Location_ Subject Notes Approved40� 7-49�f Date Ins c or'