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NO PERMIT NUMBER (2) RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR FRAME LATH 8 PLASTER GRADING FINAL FINAL BLDG. ELECTRICAL DATE INSPECTOR MISC. UNDERGROUND ROUGH ROUGH WIRING FINISHED WIRING FIXTURES MOTORS FINAL Tri 2 rroar EI 6�N Goop� oK � �0-64 2 WE�'teRut Z.oe los o is i Z - l6 - 6q 9•`J.. PLUMBIN , GAS & APPLIANCE DATE I SPECTOR MISC. BACK FLOW REQ. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. FI S L APPL IA DATE INSPECTOR MISC. MISC MISC MISC r! p Lot No. No. Stree APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Sanitary No. File No.j11�e Do to / �b 196 4 Application is herr by made for a permit to a-..�.�— story, Type to be occupied only as �ra in accordance th Plot Plan, Plans and Specifics on filed herewith„ Estimated Value of Improvements $ FEE$ of Plan Check $ Owrmr Address �/ p C ontr, 'y✓�'+�� LAddress s—�s a� Phone eq 5—.2 7 State License �.S ��� 1 J)91 Approved 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 196 FEES Contr. Add a's Phone f 5t to IL.,ce nsa Appioved Applicants agree not to violate any of the Torkman's Compensation Laws of the I State of California 'F /�/ ��� �/ ✓L LOT NO, NO. SnEEI' APPLICATION FOR PLUMBING PERMIT " < CITY OP CUPERTINO W Z i x o Sanitary No.-- Y �✓ o Date 1 0 ,196 Permit No W LL 1969 _ Pee8�-4m0 $ O Application is hereby made to the City of Cupertino for a permit to install plwnbing o Pipes aptt�kGr 1��rc//�� �pp }��rpe�(r�everse side hereof, and agre' to install said paces > r .tntl/or fixhtreTin ak�1dT'�YUC7c provisions of the Plumbing Code of the City of a w Cupertino, and all other laws applicable thereto. W � 1 � W Use of Premises - 00 �" Address o a Owner f ���✓3�`Q .9p7/'n By /.:'!Ja/ii✓ ;r/ 21-7 4[ 7V4'— Addresses /0;;6 1 lee'2�t/U/'.S� O CONTRACTOR, AGENT �^ 3 � U h i✓�'�o�'t= - 0 Phone 2-5 - 7 7✓� w z W W u State License -V11 -.�. ['�' Approvedr � a o - U PLUMBING INSPECTOR e \ ° / ) \� ( } ( • ! ` \ & ! & ƒ i ƒ ( » » \ { { ( ! { ' � 2@ , ƒ � 23 } Q ± ! » , } ; ( / � ) / » / f 00 [ @ ! 00 f2y2z@ \\ = ; e & ° @ n ; ` ° I / 2r2, ) , , ( o