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NO PERMIT NUMBER (2) Q J ? //�fyn A64-ut .✓ Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Sanitary No. �j / File N6/40a t7� 3a Date 1_196 7 Application is hereby made for a permit to u story, Type to be occupied only as in accordance with Plot Plan, Plans and Specification filed herewith., Estimated Value of Improvements $ p 0 FEE$ O Plan Check $ Owrmr Address Contr. Address / 0 2"1 a., Phone S� .s 3� State License Approved APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Data 196 GAS FEE S PLUMBING FEE $ Cont'. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEE$ Cont,. Address Phone State License Approved Applicants agree not to violate any of the 61orknuinrs Compensation Latus 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 DATE S EQTOR A. MISC. hf UNDERGROUND ROUGR' - ROUGH WIRING FINISHED WIRING FIXTURES MOTORS FINAL 71 PLUMBING, GAS 8 APPLIANCE DATE INSPECTOR MISC. BACK FLOW REO. SANITARY NO. UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. FINAL GAS FINAL APPLIANCE DATE INSPECTOR MISC. MISC MISC MISC