NO PERMIT NUMBERc
Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 196 O
File No. .f /0 3,7
Sanitary
in accor#6nce with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $ Tv�G 41a
FEES .7 Plan Check $
Ow nar Address
y,
C ontr. �G .� r..� ��/+�. Address - �u ` ''• -
Phone ate/ `' �9 D' O State License — /'P '
Approved WILT TAM n new. ^........
.APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone
Date
Contr.
Phone
Do to
Contr,
Phone
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
196 GAS FEE $ —
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
1% FEES
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
Address
State License
Approved
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