NO PERMIT NUMBER /rtt-�
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No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
File No..5 2d b 7 7
Dote 196 L_ ,
Application is hereby made for a permit to
a story, Type
to he occupied only as
in accordance with Plot Plan, Pl s and Specification filed herewith,
Estimated Value of Improvements $
FEE$ - 0
Plan Check $
0wrmr — �A�/ Address
Cant, -
p
Phone -3 7 0 C `1 L State License
Approved 4�
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr- Address
Phone State License
.. Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the i
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
tENSPEC OR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY N0.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
No. Street Lot N4'
APPLICATION FOR ELECTRICAL PERMIT
OP
@ TINO
Date — / ® Permit No. �- l O� -7. '7
A
`o o , FEB 19 1770 Fee$zo,e5�
Application is hereby made to the City of Cupertino for a permit to install electrical wiring
and/or fixtures as o^^((''{{ rQQ��qq**p�er� ''��ft�and agrees to install said wiring and/or
° fixtures in accord .� hBhprdYlhdtrical Code of the City of Cupertino,and
° all other laws a icable ereto.
ro �
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r Use of Pre i s
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Phone ����/!P 7T/ APE U State License 2
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