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NO PERMIT NUMBER (4)1 /o�s�s No. Do to Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO 196 Application is hereby bade for a to be occupied only s �t i a dance I, Estimate lee of Imp ova ants FEES Owner _ Contr. _ Phone ?t „ o - Lot No File No�(�,�U%��� l� Sanitary No. a i 131 story, Type Plan, Plans and Specification filed herewith, S Plan Check $ Address Address State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 Contr. FEE$ Address Phone St o to Li nsa i \ O trp � Ft A1P P U ING & GAS PERMIT Dote —=«96 LUi GAS FEE $ G nW6g���������� PLUMBING FEE $ �(/�,/� Contr.-- o'er Address �� u./Ki� Phone —S-RR.r •-�sTT �s� State License - ; r Approved APPLICATION FOR APPLIANCE PERMIT Data 1% FEE$ 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 ,OUTLETS UNDERGROUND SWITCHES BUILDING RECEPTACLES FOUNDATION FIXTURES FIXTURE FEE H.P. CHARGE ROUGH WIRING Date Inspector UNDERFLOOR Date MAIN DRAIN FEE Inspector FINISH WIRING Date MISC Inspector FRAME Date STORM DRAIN FEE Inspector FIXTURES Data GAS DRYER Inspector LATH & PLASTER WATER SYSTEM FEE Inspector Motors Inspector Date FINAL GAS PIPING FEE Inspector FINAL Date Inspector Date Ins oactor PERMIT FEE ELECTRICAL Date Inspector PLUMBING & GAS MAIN DRAIN SERVICE SIZE ,OUTLETS UNDERGROUND SWITCHES SIZE RECEPTACLES UNDERGROUND FIXTURES FIXTURE FEE H.P. CHARGE ROUGH WIRING PERMIT FEE TOTAL FEES Date Date Inspector PLUMBING & GAS MAIN DRAIN SERVICE SIZE I MATERIAL UNDERGROUND STORM DRAIN SIZE LoTERIAL UNDERGROUND Dare FIXTURE FEE Inspector ROUGH WIRING BLOWER FURNACES ♦E Date Date MAIN DRAIN FEE Inspector FINISH WIRING MISC Date Date STORM DRAIN FEE Inspector FIXTURES GAS DRYER - Date WATER SYSTEM FEE Inspector Motors TOTAL FEE Date Date GAS PIPING FEE Inspector FINAL Date Inspector PLUMBING & GAS MAIN DRAIN SIZE I MATERIAL TERIAL STORM DRAIN SIZE LoTERIAL UNDERGROUND WATER SYSTEM SIZE FEE TERIAL UNITS TOTAL FIXTURES CIRCULATING HEATERS UNDERGROUND FIXTURE FEE PARTIAL ROUGH BLOWER FURNACES ♦E Date Inspector MAIN DRAIN FEE SUSPENDED UNIT ROUGH COMPLETE MISC Date for STORM DRAIN FEE MAIN DRAIN GAS DRYER Date rolnspector WATER SYSTEM FEE GASP NG TOTAL FEE Date Inspector GAS PIPING FEE FINAL Date Inspector PERMIT FEE MISC r<� rL Date Inspector TOTAL FEE � � MISC ..,..o .. awe. �. LIANCE 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 n_._ In<nwetnr 7lmga Dea l Oif:: Ccpy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO // r-1SewerConnection Sanitary Permit No.......�sr ta.0........... P --Plumbing Final Pl etit No. ......... .v, Lot No................................ Owner or Tenant Tract _-------...1..T`...L.� DatcConnected ........................ 2'.'......i.......__........__......................... DateFinal Final ................. ."Z..... .......... ---.....-..................................