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4530io No. 1 Lot No. Street or APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Do to 71—a.2 196 Application is hereby made for a permit to File No. Sanitary No.20- a story, Type to he occupied only as , in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements FEE$ Owner Contr. Phone E Plan Check $ Address Address State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 7.1 s. 196 S GAS FEE E PLUMBING FEE$ Xt /(07 Contr. ss .�i%..rQ.Vlstd7.S Phone , 0/0 State Licensee1zav � ��1��Z`/',' Approved WZZAI � A' APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ Contr. Address Phone Applicants agree not to violate any of the Workman's Compensation Laws of the State of California State License ,Approved RECORD OF INSPECTION APPROVALS ` ,OUTLETS Date BUILDING SWITCHES FOUNDATION RECEPTACLES Date FINISH WIRING FIXTURES Date •'Inspector H.P. CHARGE Inspector UNDERFLOOR "PERMIT FEE Inspector Date TOTAL FEES MAIN DRAIN FEE Inspector Date FRAME FINAL MISC Data Inspector " STORM DRAIN FEE PERMIT FEE MAIN DRAIN FLOOR FURNACE Date TOTAL FEE Inspector LATH 8 PLASTER Inspector WATER SYSTEM FEE GAS PIPING Inspector Date DEt Inspector GAS PIPING FEE FINAL FINAL Date Ins Doctor ' Spector PERMIT FEE ELECTRICAL MISC SERVICE SIZE UNDERGROUND SIZE FEE ,OUTLETS Date Inspector SWITCHES TOTAL FIXTURES RECEPTACLES Date FINISH WIRING FIXTURES •'Inspector H.P. CHARGE FIXTURES "PERMIT FEE Inspector Date TOTAL FEES MAIN DRAIN FEE SERVICE SIZE UNDERGROUND SIZE FEE MATERIAL Date Inspector ROUGH WIRING TOTAL FIXTURES Inspector Date FINISH WIRING FIXTURE FEE •'Inspector Date FIXTURES SUSPENDED UNIT Inspector Date Motors MAIN DRAIN FEE Inspector Date FINAL MISC Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I MATERIAL STORM DRAIN SIZE L,16TERIAL WATER SYSTEM SIZE FEE MATERIAL UNITS FEE CIRCULATING HEATERS TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH COMBUSTION VENT SUSPENDED UNIT Dote Inspector MAIN DRAIN FEE ROUGH COMPLETE MISC Data Inspector " STORM DRAIN FEE PERMIT FEE MAIN DRAIN FLOOR FURNACE TOTAL FEE Date Inspector WATER SYSTEM FEE GAS PIPING DEt Inspector GAS PIPING FEE FINAL Date Spector PERMIT FEE MISC spa t TOTAL FEE lve IS V.7 // vl%7�r ware ins pe cror-,.--, 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 i Oii:c. cGi-.y BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer Connection Sanitary Permit No . ..... OiE3--Ta ....... E5 -'Plumbing Final Plumbing Permit No . ...... : ......................... LotNo ................................. I Owner oi�Tenant At Tract.. ............................... 7 ......... 4� ............................................................................. --------- ti,itc Connected ------ ...................../..... ................. ............................ DateFinal ..................................... 2 -1 ................................................... ...................... PLUMBING INSPECTOR III 7/63 -IM