NO PERMIT NUMBER (2) / EL E C7
106701 1 , �0 -DA 1 ^'- 'e Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
/� y File No.
Do to . 196 / /
Application is hereby made for a permit to
a story, Type
to be occupied only ns ���LQ
in accordance with Plot plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
FEES 013 Plan Check $
Oviner 6&" /Address
Contr. Address
Phone a S a —� t`➢ b 3 State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $
Cant, Address
Phone State License
Approved
j, APPLICATION FOR APPLIANCE PERMIT
Date 4: rf 196-7/ FEE$ `s
2
Contr. �'" �r ti � '�'�'c'h/ Address
Phone '�5 6 State License\/
Approved L i
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
INSPECTOR MISC.
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS
FINAL e
PLUMBING, GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REQ.
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
DATE INSPECTOR MISC.
MISC
MISC
MISC
\ IOIV�y 1,4-/\ODI VE LOT NO.
( oI;urmRR0 STREET
jUN Q 1971 CITY OF CUPERTINO
w = Uti O APPLICATION FOR APPLIANCE PERMIT
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° pate 19 _ Permit No.
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Fee $
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� ° Application is hereby mnx}e to the CityofCupertino for a permit to
o < install gas appliances as listed on the reverse side hereof, and agrees to
i m install said appliances in accordance with the provisions of the Plumbing
W Code of the City of Cupertino, and all other laws applicable thereto.
KUse of Premises
F 3 Uwner �/rt5C6E Address
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ONTRACTOR, AGENT
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N Q5'rR EEI' LOT NO.
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5 CITY OF CUPERTINO
1 JUN 8
0 XP�7�LICATION FOR ELECTRICAL PERMIT
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w Dale 19 _ Permit No. —
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Q Fee
a Application is hereby made to the City of Cupertino for a permit to install electrical
w i wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
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wiring, and/or fixtures in accordance with the provisions of the Electrical Code of the
5 m City of Cupertino, and all other laws applicable thereto.
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3 Ownerf//JAddress
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0 R CON114CTOR, AGENT Approved—0 Phnnc `A/ G ECn ICAL IN5PEC70l /
jState License d
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