51043.1-C6_20975 I VALLEY GREEN DRIVE Lot No. C-6
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Data 196
Application is hereby made for a permit to
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to be occupied only as
FEE$
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Phone
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Date
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Phone
Data
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File No. F] 04eI
Son itary
story, Type
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements
$
Plan Check $
Address _
Address
State License
Approved _
APPLICATION FOR ELECTRICAL PERMIT
196 FEES
Address
State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
196 GAS FEE $ —_
PLUMBING FEE $
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEES
Address
State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION
APPROVALS
FEE
FOUNDATION
— a_
BUILDING
SWITCHES
STORM DRAIN
Date
RECEPTACLES
FINISH WIRING
Inspector
UNDERFLOOR
Inspector
Date
H.P. CHARGE
ITERIAL
Inspector
Date
.FRAME
TOTAL FEES
Inspector
Date
FINAL
FIXTURE FEE
MISC
PARTIAL ROUGH
GAS DRYER -
Date
MAIN DRAIN FEE
PERMIT FEE
Inspector
LATH & PLASTER
Date
Inspector
STORM DRAIN FEE
Inspector
Data
FINAL
WATER SYSTEM FEE
GAS PIPING
Date
Inspector
GAS PIPING FEE
Data
Date
Insoector
PERMIT FEE
ELECTRICAL
MISC
SERVICE SIZE
UNDERGROUND
SIZE
FEE
,OUTLETS
Date
ROUGH WIRING
SWITCHES
STORM DRAIN
Inspector
RECEPTACLES
FINISH WIRING
FIXTURES
Inspector
Date
H.P. CHARGE
ITERIAL
PERMIT FEE
Date
Motors
TOTAL FEES
Inspector
SERVICE SIZE
UNDERGROUND
SIZE
FEE
Inspector
Date
ROUGH WIRING
CIRCULATING HEATERS
STORM DRAIN
Inspector
Date
FINISH WIRING
BLOWER FURNACES
Inspector
Date
FIXTURES
ITERIAL
Inspector
Date
Motors
MISC
Inspector
Date
FINAL
FIXTURE FEE
MISC
Date Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
FEE
MATERIAL
UNITS
FEE
CIRCULATING HEATERS
STORM DRAIN
SIZE
REGISTERS
MATERIAL
BLOWER FURNACES
WATER SYSTEM
SIZE
ITERIAL
SUSPENDED UNIT
TOTAL FIXTURES
MISC
UNDERGROUND
GAS RANGE
FIXTURE FEE
MISC
PARTIAL ROUGH
GAS DRYER -
MAIN DRAIN FEE
PERMIT FEE
ROUGH COMPLETE
Date
Inspector
STORM DRAIN FEE
MAIN DRAIN
Do td
Inspector
WATER SYSTEM FEE
GAS PIPING
Date
Inspector
GAS PIPING FEE
FINAL
Date
Inspector
PERMIT FEE
MISC
Date
Inspector
TOTAL FEE
MISC
Date
Inspector
mare ins pe cror
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
Dote Inspector