NO PERMIT NUMBER (2) Fire Damage
10380 I Miller Ave. •
_ Lot No.
No. Street
CITY OF CUPERTINO .50
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No.51,009
Date 2/8/74 19
Application is hereby made for a permit to
Repair Fire Damage a2 story, Type 5 N. Hr.
to be occupied only as H-I Apartment, Unit N4
in accordance with Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $ 3,700
FEES 96.00 Plan Check $
Owner William Nelson Address
Contr. John Petersen Address 1411 Camino Robles Way,
268-8333 240334
Phone State License
Approved J. A. Busto/h
APPLICATION FOR ELECTRICAL PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING 8 GAS PERMIT
Data 19 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 19 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
PD-1
ORECORD OF INSPECTION APPROVALS•
BUILDING
DATE INSPECT R MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
FRAME
LATH 8 PLASTER
GRADING FINAL
FINAL BLDr,.-
l JT
p EINSPE TOR MI '
UNDERGROUND ROUGH
ROUGH WIRING
FINISHED WIRING
FIXTURES
MOTORS-
FINAL
OTORS FINAL
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Z < Q S
�-'DYA-TTEE 'M NSPECTOR 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
LOT NO.
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PPI FOR BUILDING PERMIT
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i o Applicatio�is ereby made for a permit to —r 1*
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0 F a�story, Type .S-�u+�,P Structure
Qto be occupied only as 4161&00 in accordance with
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Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee$
0 o Estimated Value of Improvements,$ ?Qac~"' Fee$ d G
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o a Total Fee$
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances
o and all other laws applicable to the construction, location, and use of buildings within
3 a the City of Cupertino will be complied with.
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W w Ownar��'//YP/'�f;'� lei Address
Q T ze-"'r-ez 0V / � C✓�sh
—U Col r y�i_geny,
Phone <iCI �( APProved
State License raC
�' Building Inspector
NO. • STREET ' I I /.
Z a CITY OF CUPERTINO
C0.0F CUPEF' D
APPLICATION FOR ELECTRICAL PERMIT
3 a `EB 2 2 1574
w U Permit No.
1-O OaTp . 19 Fee$
LL F Application is hereby made to the City of Cupertino for a permit to install electrical
Z F wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
a" wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
w,i City of Cupertino, and all other laws applicable thereto.
a�
O O Use of //'� Work To Be
>y Premises `- r Performed `
0< �i1er .P.tltlrass
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3 F Contractor, Agent '
—y Pone ,/
R i Stets License APProva
Q0 p` Electrical Inspector
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