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51043.1-C820975 I VALLEY GREEN DRIVE Lot No. C-8 No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Date _196 Application is hereby made for a permit to u to be occupied only as FEES Owner Contr. Phone Date Contr. Phone Date Contr. Phone Date Contr. Phone File No. 5ilr n41 I Sanitary No. story, Type in accordance with Plot Plan, Plans and Specification filed herewith, Estimated Value of Improvements E 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 FOUNDATION BUILDING Dote UNDERFLOOR Date FRAME Do to LATH 8 PLASTER Do to FINAI Do to MAIN DRAIN STORM DRAIN I ns pa ctor Inspector Inspector Inspector Insoectar ELECTRICAL SIZE TERIAL ,OUTLETS UNDERGROUND FEE SWITCHES Date RECEPTACLES ROUGH WIRING FIXTURES Date H.P. CHARGE FINISH WIRING PERMIT FEE Date TOTAL FEES FIXTURES Inspector MAIN DRAIN STORM DRAIN I ns pa ctor Inspector Inspector Inspector Insoectar ELECTRICAL SIZE TERIAL SERVICE S17_E UNDERGROUND FEE UNDERGROUND Date REGISTERS ROUGH WIRING BLOWER FURNACES Date Inspector FINISH WIRING ROUGH COMPLETE Date MISC FIXTURES Inspector STORM DRAIN FEE Date MISC Motors Date Inspector Dote PERMIT FEE FINAL FLOOR FURNACE Date PLUMBING & GAS SIZE MATERIAL SIZE MATERIAL Inspector Inspector Inspector Inspector Inspector Inspector WATER SYSTEM SIZE TERIAL TYPE OF APPLIANCE TOTAL FIXTURES FEE UNDERGROUND FIXTURE FEE REGISTERS PARTIAL ROUGH BLOWER FURNACES Date Inspector MAIN DRAIN FEE ROUGH COMPLETE MISC - Date Inspector STORM DRAIN FEE MAIN DRAIN MISC Date Inspector WATER SYSTEM FEE PERMIT FEE GAS PIPING FLOOR FURNACE Dote Inspector GAS PIPING FEE FINAL Data Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC Date Inspector 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