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OP -701 t[ /` r /� t No.
No. -`Street U
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. /
File No.C-
Date 196
Application is hereby made for a permit to
.. a story, Type
to he occupied only as - �� 1` -in accordance accordance wit lot n, Plans and Specification filed herewith.,
Estimated Value of Improvements $
FEES Plan Check $
Owr,er Address
Contr. C Address POL+-+<--�✓
Phone State License Z
Approved G� ✓
APPLICATION FOR ELECTRICAL PERMIT
Data
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
t
Approved
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
INSPECTOR MISC.
PAD FINAL
FOUNDATION _
UNDERFLOOR
FRAME
--4F-7r,F
.LATH 8 PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND R
ROUGH WIRING_
FINISHED WIRING
FIXTURES
FINAL LY N
CALK YLUW KCU.
SANITARY NO. _
UNDERGROUND ROU
PARTIAL ROUGH_
ROUGH COMPLETE,
MAIN DRAIN
FINAL PLBG.
. FINAL GAS 7f S
FINAL APPLIANCE _
0&7rq
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR
r
�p CITY OF CUPERTINO
r Z GAS Vlun SERRA
RELEASE
• I �8`?®��>No STELaoi6o
0
70 "
DATE INSPECTOR
GAS SERVICE NOTICE CO:
PY
COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
_./.............. ._-._70 ........ .............
To
You are hereby authorized to connectthe GAS service for
Owner or Tenant ..%J D PT. N_ EP (J.......... ++niJ..-r........................................................
At ... /.Q..R. .7a. ......
...../1i9.,........ ST �.....(r ....... . p . ........................................
j New Service ..x .................
No. of Meters ......../............ Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move eter ............
...........
PLUMBING INSPECTOR
GAS SERVICE NOTICE P G a r
COPY
BUILDING INSPECTOR'S OFFICE
CITY. OF CUPERTINO
�..-...8...-...7.Q............................
To
You are hereby authorized to conned the GAS service for
Owner or Tenant --- JVlD-R-rjl-C.Rnl-------- S.AAl..1.T................--................................---..
At ...-........_S7.C? 4CN..Lr.......P� tP......... ---
New Service .... X................
No. of Meters ......... .j.. ... ..... Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
.....................
PLUMBING INSPECTOR