NO PERMIT NUMBER (2) ZO S / I r —r.� tit/—( s Lot No. _
No. Street _
APPLICATION F.OR:BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
Date ' `3 196
Application is hereby made for a permit to
�+ a � story, Type
to be occupied only as ax `�
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value o4 Improvements $ 024-V P=
FEE$ 3 Obi Plan Check $
Owner Address
Contr. �s p Address
Phone --K S3-� O State Licensee'' //���+"" -- � �
Approved 6()X � / /
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Cont'. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEES
Contr. Address
Phone 15t"o License
P 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 Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Inspector
LATH & PLASTER
/,.� s-03"-� Inspector
FINAL
DateInsoactor
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Data Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
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
Date 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
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
t
INSPECTED
Date Inspector
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OT NO.
NO. STREET
3 APPLICATION FOR BUILDING PERMIT
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z o CITY OF CUPERTINO
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o a Sanitary No.-
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W , Da r ® — 96 Permit No.
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4 'pllcatLns herhkS�/nad permit to �O,✓S77P r/C
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i in a st r T e 'a . t'�O 4/,P—r �i e/ Building
CITYto be occupiedonly(AkT,1N0 in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
> m ° a�
Estimated Value of Improvements, $ •250 �' Fez$ �•
iJ It is hereby agreed that the-requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to'the_construction, location, and use of buildings within the City of
d o Cupertino wilhbe complied w'th.
Address
By X� 7 Address
U Phone , 4S 3 — U / 3 Approvedk
State License BUILDING INSPFCTOR ✓r
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W TION FOR BUILDING PERMIT
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to
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z m a to ,Type �- I /9D1>/T/OIt/r Building
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w z to be ocd only as_4 �� �s m accordance with
0 o Plans, fications and Plot-Plan filed herewith. P1 Ck Fee �I
FEstimated Value of Improvements,$�1 Fee
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
� Z all other laws applicable to the construction, location, and use of buildings within the City of
° Cupertino will be complied with.
3 m Owner t Address
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By K Address �C�S� /fin/2 ��✓�t.w
<U PhoneK 1 f N 5 / c- pp u.P.�� iiJ�iCY I'`�ia�
pp A roved
�� State Licensehe 3 0. �'O BOILDING•INSPFQI�,
105&7 I GL EN VIE AVC LOT NO.
NO. STREET
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
z Z
W p ® � Sanitary No.
oI / �� 196 Permit No
3a 6P
U Fee $
° A plication is hereby made to the City of Cupertino for a permit to install plumbing
W a C� �s aor(fff �Qd411 the reverse side hereof, and agrees to install said rices
r < andd'�/nrTixtur2� r �h�r�LlV ith the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
Use of Premises
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3 Owner /,r/�TSo�� Address %0567 6Ie.✓✓'<..+ A°�-•
zL By ll�N<✓ - L_ w�aTs° "� Address
O CONTRACLOA, AGENT
3Q �S3^o 4i4�J17-OY90
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W w WILLIAM D. SENEVICH
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a a State License - Approved
U PLOMEING INSPECTOR
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a m ApplglfrrTyf isofreb i �tRT'[%4 of Cupertino for a permit to install electrical
* r wiring • d/or fixtures as listed on the reverse side hereof, and agrees to tall said
o `o wiring and/or fix' in accordance with the pro signs of the iilectr I of the
m City of Cuper no, and a ' icr laws applical ��to. � a%—, 06L
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