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NO PERMIT NUMBER (2) c Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO ! File No. .S �� 9 7 Sanitary No. Date 196 O A U tion is hereby made for a permit to S Type �V to.be occupied only as in actor nce with Plot Plan, Plans and Specification filed herewith. Estimated Value of Improvements $ 41a FEES .7 Plan Check $ Owner Address C ontr. �G .�r..� ��/+�. Address - �u ` �'• - Phone OZ/ `'/9 D' O State License /'P/ Q Approved WILT lAan n new.^........ APPLICATION FOR ELECTRICAL PERMIT Date 196 FEE$ Contr. Address Phone State License Approved APPLICATION FOR PLUMBING 8, GAS PERMIT Dote 196 GAS FEE $ PLUMBING FEE $ Contr. Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 1% FEES Contr. Address Phone State License Approved Applicants agree not to violate any of the Workman's Compensation Laws of the State of California RECORD OF INSPECTION APPROVALS BUILDING FOUNDATION DATE INSPECTOR UNDERFLOOR DATE INSPECTOR FRAME DATE INSPECTOR LATH & PLASTER ,y ^ -6/ Dgr E FINAL 1',( ! DATE INSPECTOR ELECTRICAL ELECT. SERVICE DATE INSPECTOR UNDERGROUND DATE INSPECTOR ROUGH WIRING _ _ "' - � DATE INSPECTOR FINISH WIRING DATE INSPECTOR FIXTURES DATE INSPECTOR MOTORS DATE INSPECTOR FINAL DATE INSPECTOR PLUMBING & GAS UNDERGROUND DATE INSPECTOR 'PARTIAL ROUGH DATE INSPECTOR ROUGH COMPLETE DATE INSPECTOR MAIN DRAIN DATE INSPECTOR GAS PIPING DATE INSPECTOR FINAL DATE INSPECTOR MISC DATE .. INSPECTOR MISC DATE INSPECTOR APPLIANCE INSPECTED DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR MISC DATE INSPECTOR