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NO PERMIT NUMBER (3)
SAn(1.7 S� t'3 V0,(e No. No. - Street CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT Sanitary No. File No.�( f Date f�- ^ V 1 19 ` Application is hereby made ora ermit to �'I \`S A)W'VS story. Type I V to be occupied only as c— Q t in accordance with Plot Plan, Plans and Specification filed herewith„ Estimated Valve of Improvements $ QUO©� e0 / p` FEES (� Plan Check $ \ nb Ower t)y'Q LI L 1L- Add i^bz -zrt\ Con \P�C\r2J �q Pkl- Q Ali%b Address �- �/s �1 Phone K-C' I, \ ` State Lice e �" —v Approved APPLICATION FOR ELECTRICAL PERMIT Date l7 19 �[ FEE$ s- Contr. Address Phone 7o2 — 6.11- > )� State License CIL.G 3 7 Q 6 Approved L/ APPLICATION FOR PLUMBING & GAS PERMIT Date 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 RECORD OF INSPECTION APPROVALS BUILDING DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR FRAME LATH & PLASTER 141 GRA FINA FIN ELECTRICAL p INSP CTCW SC. UNDERGROUND ROUGH fI ROUGH WIRING FINISHED WIRING FIXTURES MOTORS FINAL ® o� PLUMBING, GAS & APPLIANCE DATE INSPECTOR 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 1. MISC N Q NO. STREET LOT NO. ZZ r o CITY OF CUPERTINO o < cmOF CIAWPUCATION FOR ELECTRICAL PERMIT LL DEC 2 7 1971 ~ ° 9 !t a w Date 19 _ Permit No. _ ° a P _ > ~ AID r--ee Z m Application is hereby made to the City of Cupertino for a permit to install electrical w wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said 00 wiring and/or fixtures in accordance with the provisions of the Electrical Code of the > m City of Cupertino, _aQd all of er la applic thereto. OJ Use of Premises p` l+SCMS. Immo I 3 a Owner y Addre, Lp�ai a By �M ��LGT Ce) Address O E CONTRACTOR, AGENT a o v '�/ _ Appro _U Ph..n�: t I7 /a.—(32AZ; ELECTRICAL INSPE 00, State License !�/ (0 70 � 1 O w O W N w a w 3 w _ z w s ro w u u pvp C v v m G v b' 0 0 0 0 D d 0 Ea a > > > A o a Z' o S o ZZZ Z x 'viZZ inA a o. T. F