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02030041 (5)ti -t �- AY OF CUPERTINO CUPERTINO PERMIT APPLICATION FORM A APN# 362— 2�0�} r3 Fee Description Date: /Q Building Address: 2I C)7SIl'I/}/Vi7-,j CT C('PEP—T/ Owner's Name: L,4 X M k RA S -7-04i I P ne #: O ng_ 4-4-6 — 23 ) Contractor: BUILDING License #: Contact: MECHANICAL Phone #: Applicant/Contractor: MECHANICAL BBOILER3 Building ermit Info: Bldg Elect Plumb Mech Job Des riptio Resi ti 1: C� ) m_ cialZ-0 e� gift. Floor Area: MECHANICAL $/Sq.Ft.: Architect/Engineer: BUILDING Valuation: S� Type of Construction: BUILDING Occupancy Grou : Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other —Appliances MECHANICAL BBLDGFEE _Bldg Permits . foot BUILDING BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/ uasi, BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax — Resi/Mobile BUILDING BELEC1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee I BUILDING BMPI•IGATC Comm. Housing Mit. Fee BUILDING 1of3 ��6oS s