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51043.1-C5_ 20975 I VALLEY GREEN DRIVE Lat No.0-5 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Dote 196 Application is hereby made for a permit to a to be occupied only as FEE$ Owner Contr. Phone File No. 5104.1 San ito ry story, Type in accordance with Plot Plan, Plans and Specification filed herewith,. Estimated Value of Improvements $ Plan Check $ Address Address Stote License Approved _ APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ _ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Data 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 — BUILDING MATERIAL Date STORM DRAIN Inspector UNDERFLOOR FIXTURES REGISTERS H.P. CHARGE Inspector Date FRAME COMBUSTION VENT FIXTURE FEE PARTIAL ROUGH MAIN DRAIN FEE MISC Date ROUGH COMPLETE Date STORM DRAIN FEE Inspector LATH ,& PLASTER Inspector WATER SYSTEM FEE Inspector Date GAS PIPING FEE FINAL Date FINAL Inspector PERMIT FEE Date MISC Inspector TOTAL FEE - Date Insoectar Inspector ELECTRICAL UNDERGROUND ROUGH WIRING , FINISH WIRING_ FIXTURES Motors FINAL SERVICE SIZE Data Inspector Date Date Date Date Inspector Inspector Inspector Inspector Date Inspector PLUMBING & GAS MAIN DRAIN SIZE .OUTLETS MATERIAL SWITCHES STORM DRAIN RECEPTACLES FIXTURES REGISTERS H.P. CHARGE ITERIAL PERMIT FEE TOTAL FEES COMBUSTION VENT UNDERGROUND ROUGH WIRING , FINISH WIRING_ FIXTURES Motors FINAL SERVICE SIZE Data Inspector Date Date Date Date Inspector Inspector Inspector Inspector Date Inspector PLUMBING & GAS MAIN DRAIN SIZE FEE MATERIAL UNITS STORM DRAIN SIZE MATERIAL REGISTERS WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND COMBUSTION VENT FIXTURE FEE PARTIAL ROUGH MAIN DRAIN FEE MISC Date ROUGH COMPLETE Inspector STORM DRAIN FEE Date MAIN DRAIN Inspector WATER SYSTEM FEE Date GAS PIPING Inspector GAS PIPING FEE PERMIT FEE Date FINAL Inspector PERMIT FEE Date MISC Inspector TOTAL FEE - Date MISC Inspector vale. ins pe clot 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 Dare Inspector