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NO PERMIT NUMBER (2) Lot No. No. Street APPLICATION{FOR BUILDING PERMIT CITY OF CUPERTINO File No/9Q Sanitary No. Date 196 Application is hereby made for a permit to s --I qType to be occupied only as U" AAA in accordance with Plot Plan, Plans and Specification filed herewith Value of Improvements $ r • av esss- FEE$ Plan Cheek $ Owner Address Contr. Address Phone State Licadso y Approved APPLICATION FOR ELECTRICAL PERMIT O / r -.,7 �_ Date 196 FEES Contr. ���U��--i_ FA Address -IZ7.2-� Phone �Z 7 State License Approved �'�'l/ A•..7 L_„`-" _""�_�J i ,APPLICATION FOR PLUMBING & GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT %V Date FEE$ OS i Contr, hh ddross Phone I.ME Sta_ to L'canse t ' Approve Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS \ BUILDING FOUNDATION Date Inspector UNDERFLOOR Dae . , Inspector FRAME to Inspector LATH & PLA R t Inspector FINAL D I fa Ins De ctor ELECTRICAL ,OUTLETS SERVICE SIZE SWITCHES UNDERGROUND Date Inspector RECEPTACLES ROUGH WIRING Data Inspector FIXTURES FINISH WIRING Date s ctor N.P. CHARGE � Oz FIXTURES (�-{ ispoctor PERMIT FEE � Motors Da �p TOTAL FEES '� FINAL tspactor to Inspeltor PLUMBINI6 8 GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE LIMTERIAL 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 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 17 GAS DRYER I PERMIT FE FLOOR FURNACE TOTAL F INSPECTED /GG 5,/ I F-:,4,, gs I ag OT NO. NO. STREET Y' W APPLI, ATION FOR BUILDING PERMIT fo ITY OF CUPF.RTINO oSanitary No. SV iW DI C - 196_ ermit No. / 6 O / S Fo Po r Application is hereby made for e 't to a �iT�� �F �.� I Ir a b}�-1--b>�iF�r Building W atube oaupied only as in accprdaocc with 0 o Plans, Specifications andPI Ian filed herewith p1 CIL Fee •�3� Estimated Value of Improvements,$�P?095e) '� Fee$ q / Oz J It is hereby agreed that the requirements of the Cupertino Building and oninp/,& J Z all other laws applicable to the construction, location, and use of buildings within the City of o Cupertino will be omplied with. 3Q Address Wz W W By T:I prso• / W a Address /rrcP iw 0 7 Phonexi3 �/ — d8" q/ Approv State License Z .Z z BUILDING INSPECTOR V /0 C9-5-1 'C �.S'TA'T C A let ✓ r LOT NO. NO. STREET VAL_6-?-u CITYOFCUPERTINO CAP. I d (APPLICATION FOR BUILDING PERMIT t FEE Z ��'L:TClp Building Per.No. s� w s Date 3— 1 ,19op!!..�. Sanitary Per.No. 0 H R." 2 19p 0 V Application Is hereby made for a permit to ' u- a story, Type, rr2 X / U�Structure ' O W to be occupied only as ',FE A t ^TO /L in accordance with OQ i w Plans,Specifications and Plot-Plan filed herewith. e, x Estimated Value of Improvements,$_�Pt,� a PI Ck Fee$ 0 O It is hereby agreed that the requirements of The Fee $ Oro > v1 Cupertino Building and Zoning Ordinances and all `-� 8 3 other laws applicable to the construction,location,and i < use of buildings within the City of Cupertino will be Total Fee$ z complied with. 30 j A K0� � -ALTe4, �53•'IG3 i w Z 6 OWNER ^PH NE ADDRESS O CONTR.OR AGENT ADDRE ° 777 3 37 2� 5;S/ 5 PHONE STATE LICENSE BUILDING INSPECTOR