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51043I No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Lot No. File No. S/o K'S 9 / Son itary Dore 796 A icailors is hereby de for ¢ permit to a story to be o .¢pier ly as Type in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements $ FEES / n Plan Check $ Owner Address Contr, I Phone Address State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Contr. Address 1 Phone State License Approved APPLICATION FOR ,PLUMBING 8 GAS PERMIT Data 1966 GAS FEE $ PLUMBING FEE x /) /� cont'. /ti�R/l.iw�rCiE..O..J C.�-A- Phone —� ` �0 �s State License Z 'r7 /V 10G Approved `�4+�e.F��T •—�i�-1..� APPLICATION FOR APPLIANCE PERMIT Date 196 FEES Contr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS FOUNDATION SIZE BUILDING ,OUTLETS Date Inspector SWITCHES UNDERGROUND RECEPTACLES Date Inspector FIXTURES Inspector UNDERFLOOR H.P. CHARGE Date Inspector - ROUGH COMPLETE Inspector Date FRAME Inspector Motors STORM DRAIN FEE MAIN DRAIN Date Inspector FINAL Date Inspector Date GAS PIPING Inspector LATH & PLASTER TOTAL FEE Date Inspector — FINAL Dyfe C � �jns pe ctor Date Date PERMIT FEE Insoector MISC ELECTRICAL SERVICE SIZE UNDERGROUND SIZE FEE ,OUTLETS Date Inspector SWITCHES UNDERGROUND RECEPTACLES Date Inspector FIXTURES H.P. CHARGE Date Inspector PERMIT FEE ROUGH COMPLETE TOTAL FEES Date Inspector SERVICE SIZE UNDERGROUND SIZE FEE TERIAL Date Inspector ROUGH WIRING UNDERGROUND FIXTURE FEE Date Inspector FINISH WIRING Date Date Inspector FIXTURES ROUGH COMPLETE MISC Date Inspector Motors STORM DRAIN FEE MAIN DRAIN Date Inspector FINAL Date Inspector Date Inspector PLUMBING & GAS ' MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE FEE TERIAL UNITS TOTAL FIXTURES CIRCULATING HEATERS UNDERGROUND FIXTURE FEE PARTIAL ROUGH BLOWER FURNACES Date Inspector MAIN DRAIN FEE SUSPENDED UNIT ROUGH COMPLETE MISC Data Inspector STORM DRAIN FEE MAIN DRAIN GAS DRYER Date Inspector WATER SYSTEM FEE GAS PIPING TOTAL FEE Date Inspector GAS PIPING FEE FINAL 1/ Date Inspector PERMIT FEE MISC Inspector TOTAL FEE 9Date MISC 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 Date Inspector