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NO PERMIT NUMBER (2) /0 s� I —�^"'i J ' Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO file No. 1 OO Sanitary No. Do to � � 196 Application is hereby made for a permit toeLc,r �/ s rY. TYPe�/ e `X � T r to be occupied only as -in accoMance with Plot plan, plans and Specification filed herewith, Estimated Value of Improvements s O FEE$ Plan Check $ Qw ner�ew K �. r CEtRr. ..mow.asApd Address Phone State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Contr. Address Phone State License Approved APPLICATION FOR PLUMBING ✓L GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved 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 BUILDING FOUNDATION Date Iris pector UNDERFLOOR Date Inspector FRAME Data Inspector LATH 8 PLASTER Ao�eL t FINAL Date Ins Decfor ELECTRICAL .OUTLETS SERVICE SIZE SWITCHES UNDERGROUND Date Inspector RECEPTACLES ROUGH WIRING Date Inspectoi FIXTURES FINISH WIRING Date Inspector H.P. CHARGE FIXTURES Date Inspector PERMIT FEE Motors Date Inspector TOTAL FEES FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL WATER SYSTEM SIZE ITERIAL TOTAL FIXTURES UNDERGROUND FIXTURE FEE PARTIAL ROUGH Data Inspector MAIN DRAIN FEE ROUGH COMPLETE Date Inspector STORM DRAIN FEE MAIN DRAIN Date Inspector WATER SYSTEM FEE GAS PIPING Date Inspector GAS PIPING FEE FINAL Date Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC ' Date Inspector WINE 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 r TOTAL FEE INSPECTED Date Inspector IOS-3 3 C'C.?1g2 'r26c= C T LOT NO. NO �OSTREET CITY OF CUPERTINO 74PPLICATION FOR PLUMBING PERMIT ` Sanitary No. zz t Date Z-J ,19 Permit No, Fu$ Application is hereby made to the City of Cupertino for a permit to install plumbing pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices and/or fixtures in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. t.; /7 �� C (31, Q ^y Use is /(� S Work rr sd � O�-; � Premises Performed �^- Owner �n/ r�-r Address 6- Phone Phone �s�� 3-z`r' By14r G(j6- C[tw-x Address-?/S o _yZd&t AV SAA.) Co SC Controctor, gent C/j'iz S— Phane X97'" 7 State License �2 F1 23 7 (26 Approved Plumbing Inspector I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S r lC.f� COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 0 L. z � � § ■ a 2 . , | ! | � ■ 2 ! / \ ) $ 7 Z7aoz i5 00 ± « � la ; za ■ % | � § ' ¥ ©© � f ! ( } k - ; = ) a - - ( f ) o ! ! ! ` ) El � B ƒ 0 l i >0.0 _ = igla , ei � ! ¥ # ! § � ) � ) | « � 0 ` ! ! ! ` kI ! ! ! ! a ! ! ! » 23l�a = = � ! ! � � » � > , _ � i QQ C .j Jl/, e V /Od33 �f3 Y• �/ G iOUh / 1 LOT NO. NO. STREET •• Z ¢ � CATION.FOR BUILDING PERMIT x o ^l; OF CUPERTINO LE 0 , Sanitary No. s LL Dat t�96_ Permit No. S� O O 3 o Application is hereby made for a permit to � r i una CITY nF strj / �•� Building to be occupied only 0 o in accordance with Plans, Specifications and Plot-Plan filed herewith. Estimated Value of Improvements,3 6 Fee S i.J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and J Z all other laws applicable to the construction, locatiop, and use of buildings within the City of z! o Cupertino�will be complied with,. `m Owners P iffi.< F.Q.L. 7-1 M, Mer& Address a B 4 Address <O Phon — Approved rrl* State LicenseB ILDING INSPECTOR RECORD OF INSPECTION APPROVALS FOUNDATION DATE INSPECTOR UNDERFLOOR DATA INSPFCTOR FRAME DA'I'S INSPECTOR LATH and PLASTER DATE INSPECTOR FINAL BLDG. DATE INSPECTOR FINAL ELEC. DATE INSPECTOR FINAL PLBG. DATE INSPECTOR FINAL GAS DATE INSPRC'1'OR