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NO PERMIT NUMBER (4) _/A2O �I .," joo [ Lot No. No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Sanitary No. 7 A ile No.(; Date .�196 .� Application is hereby made for a permit a story e to he occupied only as in accordance with plot P n, Plans Lad Specification Jile herewith. Estimated Value of Improvements "'q f�S FEES —yLC �✓///AA__ '' Plan Check E Owner Contr. Addres��`3 d 0 Phone ��Ja.,,?) 7 9 —�yLy 0 State License rx C Approved L- ,lc. APPLICATION FOR ELECTRICAL PERMIT Date 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT Data 196 GAS FEE $ PLUMBING FEE $ Cant, -Address Phone State License Approved APPLICATION FOR APPLIANCE PERMIT Date 196 FEES Contr. Address Phone State License Approved " Applicants agree not to violate any of the Workman's Compensation Laws of the 5tate of Ca Lifnrnia RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR FRAME LATH & PLASTER GRADING FINAL 516N AOA7Rl Tod c.r cf V As ft& PRt✓/ 7 FINAL BLDG. ELECTRICAL DATE INSPECTOR MISC. UNDERGROUND ROUGH ROUGH WIRING FINISHED WIRING FIXTURES MOTORS- FINAL- PLUMBING, OTORSFINALPLUMBING, GAS & APPLIANCE DATE INSPECTOR MISC. BACK FLOW REO. SANITARY NO. UNDERGROUND ROUGH . PARTIAL ROUGH / ROUGH COMPLETE MAIN DRAIN FINAL PLBG. FINAL GAS FINAL PLIANCE DATE INSPECTOR MISC. MISC MISC MISC /c3f�S- sA2,OTCG.4 SL//✓.11j1AL� ZO,LOTNO. + I NTREET CITY OF CUPERTINO (vAL•. CAP. Sl _ i < APPLICATION FOR BUILDING PERMIT FEE— z S-L F ¢ Date_ .�y -�4 2% '19—:2&/. Building Per.No. _ 0 QQ �'�G''tt��,,, Sanitary Per.No. 3 v Applif5ti6h(is here Pmode for a permit to OLAJ F� T/ 6bAJ astory, fy�e q c-�'� "/ r - Structure O a to be occupi�t my as in accordance with Z v) Plans,Specifications and Plot-Plan filed herewith. Estimated Value of Improvements, u_ PI Ck Fee$ O O It is hereby agreed that the requirements of the /7 �F-o a Cupertino Building and Zoning Ordinances and all Fee$ O~ 3 other laws applicable to the construction,location,and Z 5 use of buildings within the City of Cupertino will be Total Fee$ Z complied with. O 3 � - „`, S,0/3!/c30S Sae4TQ„t syuvy�4l.� 2.D w w OWNER PHONE ADDRESS AD A 27- 7� t CONTR.OR AGENT _ /-ADDRES � NGS - V ;2k'7- .2y7 97 IX try.- PHONE STATE LICENSE BUILDING F4SPECTOR No STREET W 2AP LI T TOR BUILDING PERMIT i � r ° D C �OF CUPFRTINO a . ° a 1� Sanitary No. 30 9 Fi9 Unre � � 196_ Fermis No. 0 o nAppli iois hereby ma � to a N a togry Building ,w. to be Occup n y as i 3 m accordance with ��� ao Plans, Specifications and Plot-Plan �file77d he wlth. Pl Ck e F ; Estimated Value of Improvements, 50Z��Q v� Fee a %S—4,Z o oa z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and z all other laws applicable to the construction, location, and use of buildings within the City of d o 3 Cupertm will be complie ith�m OwneAddress BY ` Address 363a — Q u Phone F2 '3 17-7 �f Approve \� State License BUILDING INSPEC-oa