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NO PERMIT NUMBER (3)ln'95 MpIiFSA. Ct. 16 NO. STREET e« LOT NO. CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT 11 SANITARY NO. FILE NO. 51,42'1 DATE Ang 22 19-73— Application 9-7g Application is hereby made for a permit to ^nnstrurt skyligbt a story, type to be occupied only as in accordance with plot plan, plans and specification filed herewith. FEE ESTIMATED VALUE OF IMPROVEMENTS CHECK $ OWNER uera=ann rlockler ADDRESS PHONE 297—i i Q4 CONTR. ADDRESS PHONE STATE LICENSE BUILDING INSPECTION RECORD DATE INSPECTOR I DATE INSPECTOR FOUNDATION I I I FLOOR STEEL PRE-GUNITE FRAME _ BOND BEAMS LATH WALLBOARDS - INT. B EXT. FIREWALLS MEMBRANE LANDSCAPING F.M.O. INSPECTION UNDER -FLOOR -MISC_ MOORE BUSINESS FORMS INC.. LE ELECTRICAL INSPECTION RECORD RESIDENTIAL DATE I INSPECTOR I COMMERCIAL DATE I INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL MISCELLANEOUS INSPECTIONS PLUMBING INSPECTION RECORD DATE INSPECTOR BACK FLOW REQUIRED BACK FLOW INSTALLED UNDERGROUND ROUGH " - _- PARTIAL ROUGH ROUGH COMPLETE ROOF DRAIN 8 LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING HEATING & A/C INSPECTION RECORD DATE I INSPECTOR UNDERFLOOR S.M. DUCTS 8 INSULATION FLUES 8 COMB. AIR CONDENSATE DRAINS FINAL APPLIANCE / O 3 9S—/ A5 LIss,4 CT LOT NO. NO. STREETr VALZ �b CITY OF CUPERTINO' CAP. T-- d C'•Tt cAPPLICATION FOR BUILDING PERMIT FEE Z Building Per. No. w F m '0 Data hu U 4r 10 Sanitary Per. No. LL Application is hereby made for a permit to Goiv S 7iQ v C 7 ('t/ 3 u �tory� Structure W LL a 1 pe = O W to be occupied only as in accordance with O a Z Plans, Specifications and Plot-Pion filed herewith. <W W d. Estimated Value of Improvements, $ / a LL PI Ck Fee $ p O It is hereby agreed that the requirements . of the Fee $ > ,n Cupertino Building and Zoning Ordinances and all 3 other laws applicable to the construction, location, and $� Z - use of buildings within the City of Cupertino will be Total Fee Z complied with. O 3 < Pr aaw t/(Oak�cY W Z OWNER Z PHONE ADDRESS W W K R R i o CONTR. AGENT ADD S O _v PHONE STATE LICENSE BYEDINGINSFECTOR © u