04020093 (3) CITY OF CUPERTINO
FURNACE /AC o �° ��
2 PER
CUTINO r PERMIT APPLICATION FORM
APN # 3 s R a ® r 7 Date: 2- - ( Z
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Building Address: 25,
E
Owner's Name: � Phone #:
I ' SL{E 313- 16
Contractor: _ License #:
a 7Z
Contact Phone #:
A - Vs a 79-07.a .-L
Applicant/Contractor: (!.,
Building Permit Info:
Bldg Elect Plumbech
Job Description: "� � �
wide tia : RLe_& ,1 tit-`— Commercial:
Sq. Ft. Floor Area: S/Sy.Ft.:
Arcliitect/Engincer: Valuation: t bt)d
Type of Construction: l– Occupancy Group:
Y. if
]i� ble Fee ID Fee Description Fee Group
BENERGY Energy BUILIDNG
BREMFURN Relocation of Furnace MECHANICAL
BREMACOVER A/C Unit > 10,000 cfm MECHANICAL
BREMAIRHAN A/C Units <= 10, 000 cfm MECHANICAL
BREMRECEPT Rec tl, Switch & Outlets ELECTRICAL
BSEISMICRE Seismic Fee Res BUILIDNG
EPERMITFEE See Permit Issuance ELECTRICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue PLUMBING
BPERMFEE Bldg Permit Fees B ILLU DNG
BPLANCHK Plan Check Fee BUILIDNG
BUSLIC Business License BUILIDNG
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